NPIMap

Organization Active NPI

Summit Psychiatric & Counseling Associates

  • Psychiatry Physician
  • Springfield, NJ
National Provider Identifier
1386772499
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA45933 Issued in NJ
Legal business name
SUMMIT PSYCHIATRIC & COUNSELING ASSOCIATES
Practice address
28 Millburn Avenue Ste 5
Springfield, NJ 07081-1039
Phone
(973) 218-1770
Fax
(973) 376-7726
NPI assigned
Mar 1, 2007
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David G. Miller, M.D.
Title
Sole Proprietor
Phone
(973) 218-1770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X MA45933 NJ Primary

Addresses

Primary practice location

28 Millburn Avenue Ste 5
Springfield, NJ 07081-1039

Mailing address

28 Millburn Avenue Ste 5
Springfield, NJ 07081-1023
Phone (973) 218-1770

National Provider Directory

National Provider Directory

Locations

28 Millburn Ave
Springfield, NJ 07081
Phone (973) 218-1770

28 Millburn Ave
Ste 5
Springfield, NJ 07081
Phone (973) 218-1770

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1386772499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MILLBURN AVENUE STE 5",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811023",
            "telephone_number": "973-218-1770",
            "fax_number": "973-376-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MILLBURN AVENUE STE 5",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811039",
            "telephone_number": "973-218-1770",
            "fax_number": "973-376-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PSYCHIATRIC & COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "973-218-1770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA45933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.