SUMMIT HEALTH PROFESSIONALS
NPI 1649262825
Community/Behavioral Health in Idaho Falls, ID

NPI Status: Active since August 16, 2005

Contact Information

3760 WASHINGTON PKWY
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 524-4953
Fax: (208) 524-7335

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  • Organization
  • Community/Behavioral Health

About SUMMIT HEALTH PROFESSIONALS

This page provides the complete NPI Profile along with additional information for Summit Health Professionals, a provider established in Idaho Falls, Idaho operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1649262825 assigned on August 2005. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Summit Health Professionals operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Nikola Andersen (Physician/partner)

NPI
1649262825
Provider Name
SUMMIT HEALTH PROFESSIONALS
Entity Type
Organization
Location Address
3760 WASHINGTON PKWY IDAHO FALLS, ID 83404
Location Phone
(208) 524-4953
Location Fax
(208) 524-7335
Mailing Address
3760 WASHINGTON PKWY IDAHO FALLS, ID 83404
Mailing Phone
(208) 524-4953
Mailing Fax
(208) 524-7335
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-16-2005
Last Update Date
11-03-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

LCPC-323 (ID)
2104100000XBehavioral Health & Social Service Providers

Social Worker

LCSW-1311 (ID)
32084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

M8621 (ID)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. NIKOLA ANDERSEN

Authorized Official Title
PHYSICIAN/PARTNER
Authorized Official Phone
(208) 524-4953

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1105722MEDICARE ID-TYPE UNSPECIFIED (04) 
H19414MEDICARE UPIN (02) 
806797700MEDICAID (05)ID 
1376081MEDICARE ID-TYPE UNSPECIFIED (04) 

Reviews for SUMMIT HEALTH PROFESSIONALS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649262825
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
268946484
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 4 + 6 + 4 + 8 + 4 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1649262825 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033158613MR. RICHARD A TROYER LCPC
Individual
Counselor3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404
(208) 524-4953
1851332464 KRISTOPHER LEON WALTON LCSW
Individual
Social Worker3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404
(208) 524-4953
1891928602MS. ANGELINA LERAE NORTON ACADC, MSW
Individual
Counselor (Addiction (Substance Use Disorder))3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404
(208) 522-0140
1588994222HUMAN DYNAMICS & DIAGNOSTICS
Organization
Counselor (Addiction (Substance Use Disorder))3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404
(208) 528-5466
1629309844HUMAN DYNAMICS & DIAGNOSTICS
Organization
Community/Behavioral Health3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404
(208) 524-4953
1831534924MARK E FREEMAN MD PC
Organization
Plastic Surgery3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404
(208) 881-5351
1396100491MADISON AVENUE SURGERY CENTER LLC
Organization
Clinic/Center (Ambulatory Surgical)3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404
(208) 881-5351
1780123950BMH, INC.
Organization
Dermatology3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404
(208) 535-3637
1760720064DR. KIERSTIN NEBEKER DNP
Individual
Nurse Practitioner (Family)3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404
(208) 881-5779
1831730118FALLS MEDICAL AESTHETICS, PLLC
Organization
Clinic/Center3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404
(208) 881-5779

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649262825, enumerated in the NPI registry as an "organization" on August 16, 2005

The provider is located at 3760 Washington Pkwy Idaho Falls, Id 83404 and the phone number is (208) 524-4953

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 16, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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