| Summit Psychotherapy, Pllc | |
|
330 Fiedler Ave Ste 207 Dillon CO 80435-6930 | |
| (970) 200-8563 | |
| Not Available |
| Full Name | Summit Psychotherapy, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 330 Fiedler Ave Ste 207, Dillon, Colorado |
| Authorized Official Name and Position | Hillary Sunderland (OWNER) |
| Authorized Official Contact | 9702008563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Psychotherapy, Pllc 5402 Montezuma Rd Montezuma CO 80435-7621 Ph: (303) 704-8555 | Summit Psychotherapy, Pllc 330 Fiedler Ave Ste 207 Dillon CO 80435-6930 Ph: (970) 200-8563 |
| NPI Number | 1811664022 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Medicare PECOS PAC ID | 0042617524 |
|---|---|
| Medicare Enrollment ID | O20210927001055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811664022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Hillary M Sunderland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063705168 PECOS PAC ID: 3577871920 Enrollment ID: I20151005000675 |
| Provider Name | Gabriel Greenwald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225483647 PECOS PAC ID: 9436570819 Enrollment ID: I20200611001160 |
| Provider Name | Casey Donohoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598428567 PECOS PAC ID: 0042688046 Enrollment ID: I20221123000404 |
| Provider Name | Stefanie Tremoehlen Kremer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326701392 PECOS PAC ID: 1951775550 Enrollment ID: I20230322001549 |
| Provider Name | Elizabeth Imhoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962274399 PECOS PAC ID: 6103276910 Enrollment ID: I20231220000388 |
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