Summit Holistic Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SUMMIT HOLISTIC CENTER LLC

Practice address

6310 Stevens Forest Rd Ste 200
Columbia, MD 21046-1036

Phone

(410) 245-2414

Fax

(410) 740-9005

NPI assigned

Aug 24, 2021

Organization subpart

No

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

Authorized official

Name

Njideka Udochi, MD

Title

Owner

Phone

(410) 245-2414

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1942977244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 STEVENS FOREST RD STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461036",
            "telephone_number": "410-245-2414",
            "fax_number": "410-740-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 STEVENS FOREST RD STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461036",
            "telephone_number": "410-245-2414",
            "fax_number": "410-740-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HOLISTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "UDOCHI",
        "authorized_official_first_name": "NJIDEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-245-2414",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "D0051897",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "685900300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Martin Sullivan, M.D.
• Sarah Elizabeth Sullivan
• Emily Summers
• Neal Summers
• Summit Ambulatory Surgical Center, LLC
• Summit Medical Group LLC
• Kayla Sumpter
• Franklin Sun
• Tzu Chuan Sun
• Wenjie Sun, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Columbia, MD
• Providers in Columbia, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

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