Synchrony Therapeutic Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SYNCHRONY THERAPEUTIC SERVICES, PLLC

Practice address

307 1St Ave E Ste 16
Kalispell, MT 59901-4965

Phone

(406) 529-1104

NPI assigned

Nov 16, 2022

Organization subpart

No

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

Authorized official

Name

Amy Gault, LCSWNPI 1376118661

Title

Owner

Phone

(406) 529-1104

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Practitioners 3

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

• Amy Gault, MSW

  • Clinical Social Worker
  • Kalispell, MT
  • NPI 1376118661
  Medicare reassignment NPD Authorized official
• David Lawrence Preston, LCSW, MSW

  • Clinical Social Worker
  • Kalispell, MT
  • NPI 1528654233
  NPD
• Jessica Curry, LCSW

  • Clinical Social Worker
  • Kalispell, MT
  • NPI 1487321188
  NPD (past)

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1114636404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599030446",
            "telephone_number": "406-529-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 1ST AVE E STE 16",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014965",
            "telephone_number": "406-529-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNCHRONY THERAPEUTIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "GAULT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-529-1104",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior Specialty Pharmacy of Montana, LLC
• Libby Kaye Sutherland, LCPC
• Kirsten Svennungsen, NP-C
• Harvey Clark Swanson, M.D.
• Julia Sweeney
• Carl Joseph Tabler, PHARMD
• Lexi Lynn Tabor-Manaker, M.D.
• Cindy V Tadday, M S
• Michele Nichole Taylor, D.O.
• Richard Harlan Taylor, M.D.

• Clinical Social Worker in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.