| Summit Behavioral Health Group, Inc. | |
|
66 S Miller Rd Ste 103 Fairlawn OH 44333-4141 | |
| (330) 867-1900 | |
| (330) 699-7020 |
| Full Name | Summit Behavioral Health Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 66 S Miller Rd Ste 103, Fairlawn, Ohio |
| Authorized Official Name and Position | Wendy M Gajarsky (OWNER) |
| Authorized Official Contact | 3308671900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Behavioral Health Group, Inc. 66 S Miller Rd Ste 103 Fairlawn OH 44333-4141 Ph: (330) 867-1900 | Summit Behavioral Health Group, Inc. 66 S Miller Rd Ste 103 Fairlawn OH 44333-4141 Ph: (330) 867-1900 |
| NPI Number | 1184710394 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/17/2021 |
| Certification Date | 08/17/2021 |
| Medicare PECOS PAC ID | 4082517362 |
|---|---|
| Medicare Enrollment ID | O20040202000884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184710394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35061739 (Ohio) | Primary |
| Provider Name | Wendy M Gajarsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952485906 PECOS PAC ID: 2264328558 Enrollment ID: I20040224000825 |
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