| Summit Consulting Group, Inc. | |
|
15418 Main Street Suite 301 Mill Creek WA 98012 | |
| (425) 358-3262 | |
| (425) 357-0924 |
| Full Name | Summit Consulting Group, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 15418 Main Street, Mill Creek, Washington |
| Authorized Official Name and Position | Timothy M Reisenauer (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4253853262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Consulting Group, Inc. 15418 Main Street Suite 301 Mill Creek WA 98012 Ph: (425) 358-3262 | Summit Consulting Group, Inc. 15418 Main Street Suite 301 Mill Creek WA 98012 Ph: (425) 358-3262 |
| NPI Number | 1568525251 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 04/16/2014 |
| Medicare PECOS PAC ID | 1850385733 |
|---|---|
| Medicare Enrollment ID | O20040413001064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568525251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1287 (Washington) | Primary |
| Provider Name | Timothy M Reisenauer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407032063 PECOS PAC ID: 3072507995 Enrollment ID: I20040414000339 |
Karla Campbell Ma Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16300 Mill Creek Blvd Ste 204, Mill Creek, WA 98012 Phone: 425-213-8371 Fax: 877-724-9988 | |
Lindsay Kraemer, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15418 Main St Unit M301, Mill Creek, WA 98012 Phone: 425-610-6018 | |
John M. Zimburean, M.d., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15418 Main St, Suite 301, Mill Creek, WA 98012 Phone: 425-385-2960 Fax: 425-357-0924 | |
Northwest Mental Health Alliance Np Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16300 Mill Creek Blvd Ste G1, Mill Creek, WA 98012 Phone: 425-362-2914 | |
Susan B. Palmer-ansorg, Ph.d. Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16000 Bothell Everett Hwy, Suite 200, Mill Creek, WA 98012 Phone: 425-357-8023 | |
Flourish Psychiatry Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16300 Mill Creek Blvd Ste 201, Mill Creek, WA 98012 Phone: 425-224-5276 |