Healthcare Provider Details

I. General information

NPI: 1700703220
Provider Name (Legal Business Name): SUMMIT STONE HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4856 INNOVATION DR
FORT COLLINS CO
80525-5539
US

IV. Provider business mailing address

3450 RIVA RIDGE PL APT F208
FORT COLLINS CO
80526-6383
US

V. Phone/Fax

Practice location:
  • Phone: 970-494-4200
  • Fax: 844-270-1824
Mailing address:
  • Phone: 808-333-9880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: DAPHNYE LUELLA RUPP-ZIMMERMAN
Title or Position: BEHAVIORAL HEALTH TECHNICIAN
Credential:
Phone: 808-333-9880