Summit BHC Mesa LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SUMMIT BHC MESA LLC

Practice address

846 North Center Street Suite 101
Mesa, AZ 85201

Phone

(480) 464-5764

Fax

(480) 834-5372

NPI assigned

Feb 18, 2020

Organization subpart

No

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

Authorized official

Name

Paul Gilbert

Title

Chief Legal Officer

Phone

(615) 716-4924

Specialties & licenses 1

Addresses

Tax ID family

Canyon Vista Recovery Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Summit BHC Mesa LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mesa, AZ
  • NPI 1871128520
  NPD tax ID
• Summit BHC Mesa LLC

  • Substance Abuse Rehabilitation Facility
  • Mesa, AZ
  • NPI 1881120558
  NPD tax ID

Locations

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1861025876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 N CENTER ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852014201",
            "telephone_number": "480-464-5764",
            "fax_number": "480-834-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 NORTH CENTER STREET SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85201",
            "telephone_number": "480-464-5764",
            "fax_number": "480-834-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT BHC MESA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "615-716-4924"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Mark Sullivan, P.A.
• Jamie Marie Sullwold, MA
• Sumeet Kumar Mendonca MD PC
• Bryce Summers, ND
• Chad Summers, PA-C
• Summit BHC Mesa LLC
• Summit BHC Mesa LLC
• Summit Chiropractic Inc
• Summit Physical Therapy, PC
• Summit Place Mental Health, LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.