SUMMIT HOLISTIC CENTER LLC – NPI #1942977244
Clinic/Center

SUMMIT HOLISTIC CENTER LLC is an AHC clinic located in COLUMBIA, MD. NPPES has assigned the NPI number 1942977244 to SUMMIT HOLISTIC CENTER LLC on August 24, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 2 years ago on Feb 09, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUMMIT HOLISTIC CENTER LLC below.

NPI Profile for
SUMMIT HOLISTIC CENTER LLC

NPI Number
1942977244
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUMMIT HOLISTIC CENTER LLC
Primary location
6310 STEVENS FOREST RD STE 200
COLUMBIA, MD 21046-1036
Phone: (410) 245-2414 Fax: (410) 740-9005
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NJIDEKA UDOCHI
OWNER
Phone: (410) 245-2414
Updated
Certification Date
Feb 09, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SUMMIT HOLISTIC CENTER LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherSTATE LICENSEMDD0051897
medicaidMD685900300
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.