NPIMap

Organization Active NPI

Summerplace Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Ontario, CA
National Provider Identifier
1962075564
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
SUMMERPLACE INC
Practice address
2027 E Deodar St
Ontario, CA 91764-1624
Phone
(909) 945-2736
NPI assigned
Jul 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Dr. June Hayes, PHD
Title
Clinical Director
Phone
(909) 945-2736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

2027 E Deodar St
Ontario, CA 91764-1624

Mailing address

2027 E Deodar St
Ontario, CA 91764-1624
Phone (909) 945-2736

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sptreatmentcenter@verizon.net

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1962075564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 E DEODAR ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917641624",
            "telephone_number": "909-945-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 E DEODAR ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917641624",
            "telephone_number": "909-945-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERPLACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "909-945-2736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sptreatmentcenter@verizon.net",
            "affiliation": "N",
            "address_1": "2027 E Deodar St",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917641624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.