Synapse Medical Center LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SYNAPSE MEDICAL CENTER LLC

Practice address

701 S Wells St Apt 2103
Chicago, IL 60607-4631

Phone

(404) 358-5736

NPI assigned

May 19, 2020

Organization subpart

No

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

Authorized official

Name

Kumaraswamy Budur, MD

Title

Physician

Phone

(404) 358-5736

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1093338519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S WELLS ST APT 2103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074631",
            "telephone_number": "404-358-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S WELLS ST APT 2103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074631",
            "telephone_number": "404-358-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNAPSE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "BUDUR",
        "authorized_official_first_name": "KUMARASWAMY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "404-358-5736",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Chicago, IL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.