Summit Psychiatry

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SUMMIT PSYCHIATRY

Practice address

222 Brooks St Apt 414
Worcester, MA 01606-3335

Phone

(857) 237-5816

NPI assigned

Apr 11, 2024

Organization subpart

No

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

Authorized official

Name

Jacqueline RutinwaNPI 1821871278

Title

Pmhnp

Phone

(857) 237-5816

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.

• Jacqueline Rutinwa

  • Psychiatric/Mental Health Nurse Practitioner
  • Folsom, CA
  • NPI 1821871278
  NPD Authorized official

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1609620202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BROOKS ST APT 414",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016063335",
            "telephone_number": "857-237-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 BROOKS ST APT 414",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016063335",
            "telephone_number": "857-237-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "RUTINWA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "857-237-5816"
    },
    "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": []
}

• Ivelisse Sully
• Danielle Aysha Sultan, DO
• Khaled A. Sultani
• Stephen Mark Summers, M.D.
• Summit Academy, Inc.
• Concetta Marie Sumner
• Sun Dental Center
• Sunbridge Healthcare Corporation
• Sunbridge Healthcare LLC
• Skylar Paige Sundquist, MD

• Psychiatric/Mental Health Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.

Verify at the official NPI Registry.