Summit Psychology Associates LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C4476 Issued in OR

Legal business name

SUMMIT PSYCHOLOGY ASSOCIATES LLC

Practice address

11659 SE Mountain Ridge Ave
Happy Valley, OR 97086-6736

Phone

(580) 484-5000

NPI assigned

Jun 19, 2018

Organization subpart

No

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

Authorized official

Name

Molly B Stecker, LMHC, LPC

Title

Ceo

Phone

(580) 484-5000

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Molly Beth Merritt

  • Mental Health Counselor
  • Vancouver, WA
  • NPI 1164741963
  NPD

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1407340706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11659 SE MOUNTAIN RIDGE AVE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970866736",
            "telephone_number": "580-484-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11659 SE MOUNTAIN RIDGE AVE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970866736",
            "telephone_number": "580-484-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PSYCHOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "STECKER",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-484-5000",
        "authorized_official_credential": "LMHC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul K Stewart, LCSW, CADCIII
• Deena Stipsky, MA
• Kathryn Stockbower, M.D.
• Lindsey Strasburg
• Petrina Suk, DMD
• Claire Sumner
• Sunnybrook Family Dental LLC
• Sunnyside Collaborative Care
• Sunrise Corporate Services, LLC
• Steven Sunseri, DPT

• Professional Counselor in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.