Organization Active NPI

Summit Behavioral Health Services LLC

  • Clinical Social Worker
  • Harper Woods, MI
National Provider Identifier
1982266540
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUMMIT BEHAVIORAL HEALTH SERVICES LLC
Practice address
18573 Washtenaw St
Harper Woods, MI 48225-2145
Phone
(248) 298-6125
NPI assigned
Jul 3, 2019
Last updated
Jun 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Ms. Cathy Battaglia, LMSWNPI 1396080941
Title
Owner/Operator
Phone
(248) 298-6125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

18573 Washtenaw St
Harper Woods, MI 48225-2145

Mailing address

18573 Washtenaw St
Harper Woods, MI 48225-2145
Phone (248) 298-6125

Other practice location 1

3087 E Warm Springs Rd Ste 100
Las Vegas, NV 89120-3754
Phone (248) 298-6238

Other names 1

  • Summit Behavioral Health Services, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220921001919 MI Part B Supplier - Clinic/Group Practice 7113302597 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Clair Shores, MI

National Provider Directory

National Provider Directory

Locations

21610 E 11 Mile Rd
Ste 5
Saint Clair Shores, MI 48081
Phone (248) 277-2679

21610 E 11 Mile Rd
Ste 4
St Clr Shores, MI 48081
Phone (248) 277-2679

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1982266540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18573 WASHTENAW ST",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482252145",
            "telephone_number": "248-298-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18573 WASHTENAW ST",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482252145",
            "telephone_number": "248-298-6125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3087 E Warm Springs Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891203754",
            "country_code": "US",
            "telephone_number": "248-298-6238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "BATTAGLIA",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "248-298-6125",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Behavioral Health Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Harper Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.