Synapse Integrated Psychology, LLC

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

Legal business name

SYNAPSE INTEGRATED PSYCHOLOGY, LLC

Practice address

303 S First St
Gallup, NM 87301-6211

Phone

(505) 397-7197

NPI assigned

Feb 17, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Juliana Marie Stravers, LLPC, LPCNPI 1972854123

Title

Member/ Owner

Phone

(616) 502-9681

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juliana Marie Stravers, LPCC

  • Professional Counselor
  • Gallup, NM
  • NPI 1972854123
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1033702360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S FIRST ST",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016211",
            "telephone_number": "505-488-2807",
            "fax_number": "844-502-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S FIRST ST",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016211",
            "telephone_number": "505-397-7197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 Valentina Dr",
            "address_purpose": "LOCATION",
            "city": "Gallup",
            "state": "NM",
            "postal_code": "873014838",
            "country_code": "US",
            "telephone_number": "616-502-9681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYNAPSE INTEGRATED PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "STRAVERS",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEMBER/ OWNER",
        "authorized_official_telephone_number": "616-502-9681",
        "authorized_official_credential": "LLPC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty B. Sutliff, D.C.
• Timothy Sutton
• Anandan Swaminathan, MD
• Charlotte Ann Swindal, CNM
• Lauren Swinney, RN
• Synergy Agency Services
• Synergy Behavioral Health Center, P.C.
• Julia Taggart, RN
• Carlene Tahe
• Ma.Nita Talido, RN

• Prescribing (Medical) Psychologist in Gallup, NM
• Providers in Gallup, NM by specialty
• Prescribing (Medical) Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.