Organization
SUMMIT PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER R BLOOMFIELD NP (PMHNP)
(260) 610-3808
Entity
Organization
Contact information
Practice address
1025 W RUDISILL BLVD STE 229, FORT WAYNE, IN 46807-2168
(260) 433-8583
Mailing address
14826 GATESIDE DR, FORT WAYNE, IN 46814-7574
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/01/2025
Last updated
08/14/2025
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