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).
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 |
Official Name | CHRISTINA MEYER |
Official Title | DIRECTOR OF PROGRAMS |
Credential | LMSW |
Telephone | 4109611866 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
N | 101YM0800X | Counselor | Mental Health | 193200000X MULTI-SPECIALTY GROUP | ||
N | 1041C0700X | Social Worker | Clinical | 193200000X MULTI-SPECIALTY GROUP | ||
N | 363LF0000X | Nurse Practitioner | Family | 193200000X MULTI-SPECIALTY GROUP | ||
Y | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | 193200000X MULTI-SPECIALTY GROUP |
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... |
Code | 101YM0800X |
Taxonomy | Mental Health Counselor |
Classification | Counselor |
Specialization | Mental Health |
Grouping | Behavioral Health & Social Service Providers |
Definition: Definition to come... |
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] |
Code | 363LF0000X |
Taxonomy | Family Nurse Practitioner |
Classification | Nurse Practitioner |
Specialization | Family |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Definition: Definition to come... |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Wellevate Mental Health PLLC | 336 Ne 4th St, Cape Coral, FL 33909-0500 | Psychiatric/Mental Health Nurse Practitioner | 2025-09-05 |
Inasa Healthcare LLC | 4416 Fitch Ave, Nottingham, MD 21236-3907 | Psychiatric/Mental Health Nurse Practitioner | 2025-09-05 |
Danielle Alison Lackey | 1448 S 15th St, Louisville, KY 40210-1838 | Psychiatric/Mental Health Nurse Practitioner | 2025-09-06 |
Johnson Np In Psychiatry | 3380 Nostrand Avenue, Ste 1e, Brooklyn, NY 11229 | Psychiatric/Mental Health Nurse Practitioner | 2025-09-06 |
Marimar Bustamante | 357 S Bannock St Unit 581, Denver, CO 80223-2269 | Psychiatric/Mental Health Nurse Practitioner | 2025-09-05 |
Josephine Iredia Otasowie | 1215 Rustic Ave, Rosedale, MD 21237-2930 | Psychiatric/Mental Health Nurse Practitioner | 2025-09-05 |
Taiye Beoghene | 1671 Brockton Ln, Beaumont, CA 92223-3230 | Psychiatric/Mental Health Nurse Practitioner | 2025-09-05 |
Hara Lumina Psychiatry & Wellness | 334 Clubhouse St, Bolingbrook, IL 60490-2119 | Psychiatric/Mental Health Nurse Practitioner | 2025-09-06 |
Kevin Smith | 870 Hunt Farm Rd, Orono, MN 55356-9318 | Psychiatric/Mental Health Nurse Practitioner | 2025-09-05 |
Jason Jason Eala | 95-390 Kuahelani Ave # 3ac-1008, Mililani, HI 96789-1192 | Psychiatric/Mental Health Nurse Practitioner | 2025-09-05 |
Find all providers with the same taxonomy |
Street Address |
5008 EDMONDSON AVE |
City | BALTIMORE |
State | MD |
Zip Code | 21229-2332 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Modern Senior Care LLC | 907 Nottingham Rd Apt 3b, Baltimore, MD 21229-1293 | Home Health Aide | 2025-04-29 |
Nawanit Maskey | 900 S Canton Avenue, Baltimore, MD 21229 | Student in an Organized Health Care Education/Training Program | 2024-05-31 |
Bara Hasanain | 900 S Caton Avenue, Baltimore, MD 21229 | Internal Medicine Physician | 2017-08-01 |
Hope Parker | 5516 Channing Rd, Baltimore, MD 21229-1006 | Addiction (Substance Use Disorder) Counselor | 2025-07-30 |
Mohammad Badi Abdel Rahman Al Qob | 900 S Caton Ave, Baltimore, MD 21229 | Student in an Organized Health Care Education/Training Program | 2025-07-08 |
Sultana Bell | 907 Nottingham Rd, Baltimore, MD 21229-1266 | Home Health Aide | 2025-02-04 |
Neleen Tibayan Bonilla · Neleen Bonilla Orsal | 900 Caton Avenue, Mailbox 009, Baltimore, MD 21229 | Nurse Practitioner | 2015-04-17 |
Pavilion Healthcare Services Inc | 5462 Addington Rd, Baltimore, MD 21229-1002 | Home Health Agency | 2025-05-07 |
State of The Body LLC | 1133 Wedgewood Rd, Baltimore, MD 21229-1247 | Primary Care Clinic/Center | 2024-11-23 |
Jacob Stibbe | 723 Brookwood Rd, Baltimore, MD 21229-1404 | Clinical Social Worker | 2025-04-25 |
Find all providers in the same zip code |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Summit Community Care Clinic, Inc. | 1000 W 6th St, Leadville, CO 80461-3890 | Federally Qualified Health Center (FQHC) | 2019-08-08 |
Summit Community Care Clinic | 360 Peak One Drive, Suite 325, Frisco, CO 80443 | Dental Clinic/Center | 2011-06-15 |
Summit Community Care Clinic, Inc. | 130 W 12th St, Leadville, CO 80461-3415 | Federally Qualified Health Center (FQHC) | 2019-05-28 |
Summit Community Care Clinic, Inc. | 16201 Highway 9, Breckenridge, CO 80424-9444 | Federally Qualified Health Center (FQHC) | 2014-03-11 |
Summit Community Care Clinic, Inc. | 312 S Harris Street, Breckenridge, CO 80424 | Federally Qualified Health Center (FQHC) | 2019-06-13 |
Summit Community Health, Inc | 4315 Wentworth Rd, Baltimore, MD 21207-7476 | Addiction (Substance Use Disorder) Counselor | 2025-07-29 |
Summit Community Care Clinic, Inc. | 735 Us Highway 24, Leadville, CO 80461-3978 | Federally Qualified Health Center (FQHC) | 2023-09-21 |
Summit Community Care Clinic, Inc. | 251 W 4th St, Silverthorne, CO 80498-9000 | Non-Surgical Family Planning Clinic/Center | 2018-06-07 |
Summit Community Care Clinic, Inc. | 360 Peak One Drive, Suite 100, Frisco, CO 80443 | Federally Qualified Health Center (FQHC) | 2007-03-30 |
Summit Community Care Clinic, Inc. | 158 School Road, Frisco, CO 80443 | Federally Qualified Health Center (FQHC) | 2014-03-11 |
Do you have more infomration about Summit Community Medical, LLC? Please fill in the following form.
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 |
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. |