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. |
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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 |
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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 |
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Provider Enumeration Date | 10/05/2006 |
Last Update Date | 08/17/2021 |
Certification Date | 08/17/2021 |
Medicare PECOS PAC ID | 4082517362 |
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Medicare Enrollment ID | O20040202000884 |
Identifier | Type | State | Issuer |
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1184710394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 35061739 (Ohio) | Primary |
Provider Name | Wendy M Gajarsky |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1952485906 PECOS PAC ID: 2264328558 Enrollment ID: I20040224000825 |
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