NPIMap

Organization Active NPI

Summit Academy Management

  • Community/Behavioral Health Agency
  • Toledo, OH
National Provider Identifier
1447624143
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
S.1450770 Issued in OH
Legal business name
SUMMIT ACADEMY MANAGEMENT
Practice address
2913 S Republic Blvd
Toledo, OH 43615-1911
Phone
(419) 476-7859
Fax
(419) 476-7763
NPI assigned
Nov 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Mrs. Lori Nichol Carpenter, LSWNPI 1043766629
Title
Behavior Specialist
Phone
(419) 476-7859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X S.1450770 OH Primary

Addresses

Primary practice location

2913 S Republic Blvd
Toledo, OH 43615-1911

Mailing address

2913 S. Republic Blvd
Toledo, OH 43615-1911
Phone (419) 476-7859

National Provider Directory

National Provider Directory
Tax ID family
Summit Academy Management2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2913 S Republic Blvd
Toledo, OH 43615
Phone (419) 476-7859

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1447624143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 S. REPUBLIC BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151911",
            "telephone_number": "419-476-7859",
            "fax_number": "419-476-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 S REPUBLIC BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151911",
            "telephone_number": "419-476-7859",
            "fax_number": "419-476-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT ACADEMY MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "NICHOL",
        "authorized_official_title_or_position": "BEHAVIOR SPECIALIST",
        "authorized_official_telephone_number": "419-476-7859",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "S.1450770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.