Summit Community Medical, LLC · Psychiatric/Mental Health Nurse Practitioner

5008 Edmondson Ave, Baltimore, MD 21229-2332

Overview

Summit Community Medical, LLC is a Psychiatric/Mental Health Nurse Practitioner (organization) practicing in Baltimore, Maryland. The National Provider Identifier (NPI) is #1609752591, which was assigned on August 14, 2025, and the registration record was last updated on August 14, 2025. The practitioner's main practice location is at 5008 Edmondson Ave, Baltimore, MD 21229-2332; the contact telephone number is 4102461508. The primary taxonomy of Summit Community Medical, LLC is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), with specialization in Psychiatric/Mental Health. The authorized official for Summit Community Medical, LLC is Christina Meyer (Director of Programs).

Provider Information

NPI 1609752591
Entity Type Organization
Organization Name SUMMIT COMMUNITY MEDICAL, LLC
Provider Name SUMMIT COMMUNITY MEDICAL, LLC
Practice Address 5008 Edmondson Ave
Baltimore
MD 21229-2332
Practice Telephone 4102461508
Mailing Address 5008 Edmondson Ave
Baltimore
MD 21229-2332
Certification Date 2025-08-14
Enumeration Date 2025-08-14
Last Update Date 2025-08-14
Is Organization Subpart N

Authorized Official Information

Official Name CHRISTINA MEYER
Official Title DIRECTOR OF PROGRAMS
Credential LMSW
Telephone 4109611866

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N101YM0800XCounselorMental Health193200000X MULTI-SPECIALTY GROUP
N1041C0700XSocial WorkerClinical193200000X MULTI-SPECIALTY GROUP
N363LF0000XNurse PractitionerFamily193200000X MULTI-SPECIALTY GROUP
Y363LP0808XNurse PractitionerPsychiatric/Mental Health193200000X MULTI-SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 363LP0808X
Taxonomy Psychiatric/Mental Health Nurse Practitioner
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Other Taxonomy

Code 101YM0800X
Taxonomy Mental Health Counselor
Classification Counselor
Specialization Mental Health
Grouping Behavioral Health & Social Service Providers
Definition: Definition to come...

Other Taxonomy

Code 1041C0700X
Taxonomy Clinical Social Worker
Classification Social Worker
Specialization Clinical
Grouping Behavioral Health & Social Service Providers
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Other Taxonomy

Code 363LF0000X
Taxonomy Family Nurse Practitioner
Classification Nurse Practitioner
Specialization Family
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Wellevate Mental Health PLLC 336 Ne 4th St, Cape Coral, FL 33909-0500Psychiatric/Mental Health Nurse Practitioner2025-09-05
Inasa Healthcare LLC 4416 Fitch Ave, Nottingham, MD 21236-3907Psychiatric/Mental Health Nurse Practitioner2025-09-05
Danielle Alison Lackey 1448 S 15th St, Louisville, KY 40210-1838Psychiatric/Mental Health Nurse Practitioner2025-09-06
Johnson Np In Psychiatry 3380 Nostrand Avenue, Ste 1e, Brooklyn, NY 11229Psychiatric/Mental Health Nurse Practitioner2025-09-06
Marimar Bustamante 357 S Bannock St Unit 581, Denver, CO 80223-2269Psychiatric/Mental Health Nurse Practitioner2025-09-05
Josephine Iredia Otasowie 1215 Rustic Ave, Rosedale, MD 21237-2930Psychiatric/Mental Health Nurse Practitioner2025-09-05
Taiye Beoghene 1671 Brockton Ln, Beaumont, CA 92223-3230Psychiatric/Mental Health Nurse Practitioner2025-09-05
Hara Lumina Psychiatry & Wellness 334 Clubhouse St, Bolingbrook, IL 60490-2119Psychiatric/Mental Health Nurse Practitioner2025-09-06
Kevin Smith 870 Hunt Farm Rd, Orono, MN 55356-9318Psychiatric/Mental Health Nurse Practitioner2025-09-05
Jason Jason Eala 95-390 Kuahelani Ave # 3ac-1008, Mililani, HI 96789-1192Psychiatric/Mental Health Nurse Practitioner2025-09-05
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Location Information

Street Address 5008 EDMONDSON AVE
City BALTIMORE
State MD
Zip Code 21229-2332
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Modern Senior Care LLC 907 Nottingham Rd Apt 3b, Baltimore, MD 21229-1293Home Health Aide2025-04-29
Nawanit Maskey 900 S Canton Avenue, Baltimore, MD 21229Student in an Organized Health Care Education/Training Program2024-05-31
Bara Hasanain 900 S Caton Avenue, Baltimore, MD 21229Internal Medicine Physician2017-08-01
Hope Parker 5516 Channing Rd, Baltimore, MD 21229-1006Addiction (Substance Use Disorder) Counselor2025-07-30
Mohammad Badi Abdel Rahman Al Qob 900 S Caton Ave, Baltimore, MD 21229Student in an Organized Health Care Education/Training Program2025-07-08
Sultana Bell 907 Nottingham Rd, Baltimore, MD 21229-1266Home Health Aide2025-02-04
Neleen Tibayan Bonilla · Neleen Bonilla Orsal 900 Caton Avenue, Mailbox 009, Baltimore, MD 21229Nurse Practitioner2015-04-17
Pavilion Healthcare Services Inc 5462 Addington Rd, Baltimore, MD 21229-1002Home Health Agency2025-05-07
State of The Body LLC 1133 Wedgewood Rd, Baltimore, MD 21229-1247Primary Care Clinic/Center2024-11-23
Jacob Stibbe 723 Brookwood Rd, Baltimore, MD 21229-1404Clinical Social Worker2025-04-25
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Providers with similar names

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.