Psi Summit Professional Group
Psi Summit Professional Group is a healthcare organization registered as Psychiatry Physician in Summit, NJ, holding Type 2 (organization) NPI 1043404650 since 2007. The authorized official on file is Pat Hoffman, Credentialing Agent.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1043404650 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Psi Summit Professional Group |
| Parent organization | Psi Summit Hospital Inc |
| Practice address | 19 PROSPECT ST, Summit, NJ, 07901 |
| Phone | 8007535223 |
| Enumeration date | 2007-08-28 |
| Last updated in NPPES | 2008-04-20 |
Authorized official
| Name | Pat Hoffman |
|---|---|
| Title | Credentialing Agent |
| Phone | 8007781242 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2084P0800X | Psychiatry Physician | Primary | — | — |
Copy-ready billing details
Provider: Psi Summit Professional Group NPI: 1043404650 Taxonomy: 2084P0800X (Psychiatry Physician) Address: 19 PROSPECT ST, Summit, NJ, 07901
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1205880200 | Summit Oaks Hospital Inc | Organization | Psychiatric Hospital | Summit, NJ |
| 1245285030 | Jayakanthi Dealwis | Individual | Psychiatry Physician | Summit, NJ |
| 1922053792 | Chowdhury Azam | Individual | Psychologist | Summit, NJ |
| 1255373841 | Donna Vickery | Individual | Psychologist | Summit, NJ |
| 1528097631 | Indra Cidambi | Individual | Psychiatry Physician | Summit, NJ |
| 1942232517 | Evangelos Christodoulou | Individual | Psychiatry Physician | Summit, NJ |
| 1073732699 | Marek Belz | Individual | Psychiatry Physician | Summit, NJ |
| 1659517464 | Summit Oaks Hospital, Inc | Organization | Psychiatry Physician | Summit, NJ |
Verify this record
Cross-check NPI 1043404650 against the authoritative CMS record: view Psi Summit Professional Group on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Psi Summit Professional Group located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-04-20.