EATING RECOVERY CENTER OF CALIFORNIA – NPI #1659013324
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

EATING RECOVERY CENTER OF CALIFORNIA is an AHC clinic located in IRVINE, CA. NPPES has assigned the NPI number 1659013324 to EATING RECOVERY CENTER OF CALIFORNIA on April 12, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EATING RECOVERY CENTER OF CALIFORNIA” is a dba name, the actual legal business name for this organization is SUMMIT PSYCHOTHERAPY ASSOCIATES, PC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

The NPI profile was previously updated about 4 years ago on Jun 09, 2022. 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 EATING RECOVERY CENTER OF CALIFORNIA below.

NPI Profile for
SUMMIT PSYCHOTHERAPY ASSOCIATES, PC

NPI Number
1659013324
Enumeration Date

(more than 4 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 PSYCHOTHERAPY ASSOCIATES, PC
Doing Business As (dba): EATING RECOVERY CENTER OF CALIFORNIA
Primary location
114 PACIFICA, STE #450
IRVINE, CA 92618
Phone: (877) 825-8584 Fax:
Mailing address
PO BOX 561482
DENVER, CO 80256-1482
Phone: (877) 825-8584 Fax:
Organization Subpart
Yes - EATING RECOVERY CENTER OF CALIFORNIA is subpart of another organization.
Authorized Official
MARINA SHEPEL
CONTRACTING AND CREDENTIALING MANAG
Phone: (425) 214-9321
Updated
Certification Date
Jun 09, 2022

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.

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.

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.