Healthcare Provider Details

I. General information

NPI: 1427968536
Provider Name (Legal Business Name): SUMMIT PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 VALLEY WEST DR STE 109
WEST DES MOINES IA
50266-1902
US

IV. Provider business mailing address

1200 VALLEY WEST DR STE 109
WEST DES MOINES IA
50266-1902
US

V. Phone/Fax

Practice location:
  • Phone: 515-971-6610
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ERIC MEYER
Title or Position: NURSE PRACTITIONER/OWNER
Credential: MS, MSN, ARNP, PHMNP
Phone: 515-971-6610