Summit Psychiatric Services, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SUMMIT PSYCHIATRIC SERVICES, LLC

Practice address

395 Bedford St Ste C
Clarks Summit, PA 18411-1805

Phone

(570) 479-2398

NPI assigned

Jul 17, 2020

Organization subpart

No

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

Authorized official

Name

Denise Jemiola, CRNP

Title

Owner

Phone

(570) 479-2398

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denise Jocelyn Gemzik Jemiola, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Harrisburg, PA
  • NPI 1821563909
  Medicare reassignment NPD

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1942818752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 BEDFORD ST STE C",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 BEDFORD ST STE C",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111805",
            "telephone_number": "570-479-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "JEMIOLA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-479-2398",
        "authorized_official_credential": "CRNP"
    },
    "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": []
}

• Stewart Psychological & Consultation Services, LLC
• Victoria Stewart, PSY.D.
• Lindelou Strain, L.P.C.
• Susan Sullum
• Summit Family Care P.C.
• Mary Beth C Sunick, PH.D.
• Nicholas Alan Superko, PHARMD
• Christie Sworen, PSY.D.
• Mark Brian Szymanski, M.D.
• Joanne L Tanner, CRNP

• Psychiatric/Mental Health Nurse Practitioner in Clarks Summit, PA
• Providers in Clarks Summit, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.