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

Summit Psychiatric Services LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1023992203

Summit Psychiatric Services LLC is a Psychiatric/Mental Health Nurse Practitioner in Fort Wayne, Indiana. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1025 W Rudisill Blvd Ste 229
Fort Wayne, IN 46807-2168
Phone: (260) 433-8583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1023992203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Bloomfield — Pmhnp · (260) 610-3808
NPI enumeratedAugust 1, 2025
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025
Mailing address14826 Gateside Dr, Fort Wayne, IN 46814-7574

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