Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Summit Medical Specialists, SC

Organization Psychiatry Physician · NPI 1053538843

Summit Medical Specialists, SC is a Psychiatry Physician in Waukesha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

2717 N Grandview Blvd Ste 202
Waukesha, WI 53188-1660
Phone: (262) 513-0700
Fax: (262) 513-0707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 33398 (WI)

Record details

NPI number1053538843
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tim Levenhagen — Owner · (262) 513-0700
NPI enumeratedApril 20, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2717 N Grandview Blvd Ste 202, Waukesha, WI 53188-1660

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