Summit Behavioral Health

Primary specialty

Family PsychologistTaxonomy code 103TF0000X

Legal business name

SUMMIT BEHAVIORAL HEALTH

Practice address

6253 S Archer Rd
Summit, IL 60501-1718

Phone

(708) 552-0325

NPI assigned

Feb 5, 2020

Last updated

Jun 17, 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

Dr. Richard K Rahzari, MD

Title

Dr

Phone

(708) 552-0325

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1982236121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6253 S ARCHER RD STE 102",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011718",
            "telephone_number": "708-552-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6253 S ARCHER RD",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011718",
            "telephone_number": "708-552-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "RAHZARI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "708-552-0325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dilip Shah, M.D.
• Kirit C Shah, M.D.
• Nazeer Shaik, MD
• Benjamin Silva
• Valerie L Stout, CNM
• Summit Dental Center LLC
• Summit Medical Center S.C.
• Summit Medical Pharmacy Inc
• Summit SCH Dist 104
• Janice L Synowiecki

• Family Psychologist in Summit, IL
• Providers in Summit, IL by specialty
• Family Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.