SUMMIT DETOX – NPI #1104391648
Psychiatry & Neurology

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Health Care Provider Taxonomy Code for Psychiatry & Neurology

SUMMIT DETOX is a psychiatry & neurologist located in BOYNTON BEACH, FL. NPPES has assigned the NPI number 1104391648 to SUMMIT DETOX on October 11, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084A0401X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Medicine

The NPI profile was previously updated about 4 years ago on Feb 25, 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 SUMMIT DETOX below.

NPI Profile for
SUMMIT DETOX

NPI Number
1104391648
Enumeration Date

(more than 7 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 DETOX
Primary location
3330 S. FEDERAL HIGHWAY
3RD FLOOR
BOYNTON BEACH, FL 33435
Phone: (561) 501-5260 Fax: (561) 501-5263
Mailing address
PO BOX 732138
DALLAS, TX 75373-2138
Phone: (561) 501-5260 Fax: (561) 501-5263
Organization Subpart
No
Authorized Official
THOMAS HASSON
DIRECTOR OF BILLING AND COLLECTIONS
Phone: (561) 237-5306
Updated
Certification Date
Feb 25, 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.

Taxonomy Classification / Specialization State License
2084A0401X
- Psychiatry & Neurology / Addiction Medicine (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.