Active NPI
Summit Behavioral Health PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1497370258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SUMMIT BEHAVIORAL HEALTH PLLC
- Practice address
- 8230 E Broadway Blvd Ste E7
Tucson, AZ 85710-4002 - Phone
- (520) 468-9844
- NPI assigned
- Jun 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Misty McGillem, DNP
- Title
- Managing Member
- Phone
- (520) 468-9844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
8230 E Broadway Blvd Ste E7
Tucson, AZ 85710-4002
Mailing address
8110 S Houghton Rd
Ste 158 PMB 136
Tucson, AZ 85747
Phone (520) 468-9844
Other names 1
- Summit Behavioral Health, PLLC
National Provider Directory
National Provider DirectoryLocations
8230 E Broadway Blvd
Ste E7
Tucson, AZ 85710
Phone (520) 468-9844
6524 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 344-7830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1497370258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8110 S HOUGHTON RD",
"address_2": "STE 158 PMB 136",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85747",
"telephone_number": "520-468-9844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8230 E BROADWAY BLVD STE E7",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857104002",
"telephone_number": "520-468-9844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT BEHAVIORAL HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-08",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A",
"authorized_official_last_name": "MCGILLEM",
"authorized_official_first_name": "MISTY",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "520-468-9844",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Summit Behavioral Health, PLLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Summit Behavioral Health, PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.