NPIMap

Organization Active NPI

Summit Psychological Services

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1447555347
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SUMMIT PSYCHOLOGICAL SERVICES
Practice address
1350 Old Freeport Rd Ste 1a
Pittsburgh, PA 15238-3122
Phone
(412) 406-7734
Fax
(412) 406-7742
NPI assigned
Jan 24, 2011
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Mrs. Mindy Serembo
Title
Credentialing Specialist
Phone
(888) 924-3627

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X

Addresses

Primary practice location

1350 Old Freeport Rd Ste 1a
Pittsburgh, PA 15238-3122

Mailing address

1350 Old Freeport Rd Ste 1a
Pittsburgh, PA 15238-3122
Phone (412) 406-7734

Other practice location 1

2300 Freeport Rd Ste 1A
New Kensington, PA 15068-4669
Phone (412) 406-7734

Other practice location 2

300 Northpointe Cir Ste 105
Seven Fields, PA 16046-7862
Phone (412) 406-7734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110518000699 PA Part B Supplier - Clinic/Group Practice 2264618792 Receives reassigned benefits from 18 practitioners
Practice locations: New Kensington, PA; Pittsburgh, PA; Seven Fields, PA

National Provider Directory

National Provider Directory

Locations

2300 Freeport Rd
Ste 1A
New Kensington, PA 15068
Phone (412) 406-7734

300 Northpointe Cir
Ste 105
Seven Fields, PA 16046
Phone (412) 406-7734

Practitioners & affiliated clinicians

Practitioners 46

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 46

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1447555347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 OLD FREEPORT RD STE 1A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383122",
            "telephone_number": "412-406-7734",
            "fax_number": "412-406-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 OLD FREEPORT RD STE 1A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383122",
            "telephone_number": "412-406-7734",
            "fax_number": "412-406-7742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Freeport Rd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "New Kensington",
            "state": "PA",
            "postal_code": "150684669",
            "country_code": "US",
            "telephone_number": "412-406-7734",
            "fax_number": "412-406-7742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Northpointe Cir Ste 105",
            "address_purpose": "LOCATION",
            "city": "Seven Fields",
            "state": "PA",
            "postal_code": "160467862",
            "country_code": "US",
            "telephone_number": "412-406-7734",
            "fax_number": "412-406-7742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "SEREMBO",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "888-924-3627",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.