Summit Consulting Group, Inc.
NPI 1568525251ActiveOrganization· Psychologist, Clinical· Mill Creek, WA
Psychologist, Clinical in Mill Creek, Washington, registered in NPPES in December 2006. The authorized official on file is Timothy M. Reisenauer, PHD, Clinical Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1568525251 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 18, 2006 |
| Last updated in NPPES | Apr 16, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 1287 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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