Summit Psychotherapy Associates, PC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

SUMMIT PSYCHOTHERAPY ASSOCIATES, PC

Doing business as

Eating Recovery Center of California

Practice address

114 Pacifica, Ste #450
Irvine, CA 92618

Phone

(877) 825-8584

NPI assigned

Apr 12, 2022

Organization subpart

Yes

Parent organization

SUMMIT PSYCHOTHERAPY ASSOCIATES, PCAs reported in NPPES

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

Authorized official

Name

Marina Shepel

Title

Contracting and Credentialing Manag

Phone

(425) 214-9321

Specialties & licenses 3

Addresses

Other names 1

• Eating Recovery Center of California Doing business as

Part of

Summit Psychotherapy Associates PC

Locations

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1659013324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561482",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802561482",
            "telephone_number": "877-825-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 PACIFICA, STE #450",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "877-825-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PSYCHOTHERAPY ASSOCIATES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT PSYCHOTHERAPY ASSOCIATES, PC",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "SHEPEL",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "CONTRACTING AND CREDENTIALING MANAG",
        "authorized_official_telephone_number": "425-214-9321"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eating Recovery Center of California",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eating Recovery Center of California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Ana Rodil Sumbillo, DPT, PT
• Lori Summerfield
• Danielle Angela Summers, M.A., LMFT
• Summit Psychotherapy Associates, PC (Eating Recovery Center of CA)
• Summit Psychotherapy Associates, PC (Eating Recovery Center of CA)
• Sun Healthcare Group
• Elizabeth Sun
• Karen Sun, M.D.
• Kevin Haonan Sun, M.D.
• Steven Yi Sun, M.D.

• Adolescent and Children Mental Health Clinic/Center in Irvine, CA
• Providers in Irvine, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.