Summit Psychiatric Services PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SUMMIT PSYCHIATRIC SERVICES PLLC

Practice address

6100 219TH St SW Ste 480
Mountlake Terrace, WA 98043-2222

Phone

(940) 536-9440

NPI assigned

Feb 20, 2021

Last updated

Feb 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tammy Gayle Lipke, DNPNPI 1528306594

Title

Owner

Phone

(940) 536-9440

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, and the practitioner matching its NPPES authorized official.

• Tammy Gayle Lipke, DNP, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mill Creek, WA
  • NPI 1528306594
  NPD Authorized official

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

{
    "created_epoch": "1613779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613779200000",
    "number": "1932793973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 164TH ST SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980128080",
            "telephone_number": "940-536-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 219TH ST SW STE 480",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432222",
            "telephone_number": "940-536-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-20",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A",
        "authorized_official_last_name": "LIPKE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-536-9440",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; 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.