Healthcare Provider Details

I. General information

NPI: 1548179955
Provider Name (Legal Business Name): SUMMIT PSYCHIATRY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 S ALASKA ST
PALMER AK
99645-6335
US

IV. Provider business mailing address

247 S ALASKA ST
PALMER AK
99645-6335
US

V. Phone/Fax

Practice location:
  • Phone: 907-215-2353
  • Fax: 907-931-6135
Mailing address:
  • Phone: 907-215-2353
  • Fax: 907-931-6135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MIA SLAUGHTER
Title or Position: CFO
Credential:
Phone: 406-360-6224