Active NPI
Synergetics Mental Health
- Social Worker
- Helena, MT
National Provider Identifier
1124685565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- SYNERGETICS MENTAL HEALTH
- Practice address
- 502 W Custer Ave
Helena, MT 59602-0219 - Phone
- (406) 459-1972
- Fax
- (406) 502-1265
- NPI assigned
- May 21, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David A Wojciechowski, LCSW
- Title
- Owner/Operator
- Phone
- (406) 475-2060
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
502 W Custer Ave
Helena, MT 59602-0219
Mailing address
PO Box 5133
Helena, MT 59604-5133
Phone (406) 459-1972
Other names 1
- Synergetics Youth Programs, LLC
National Provider Directory
National Provider DirectoryLocations
502 W Custer Ave
Helena, MT 59602
Phone (406) 459-1972
629 Helena Ave
Helena, MT 59601
Phone (406) 443-7664
616 Helena Ave
Ste 212
Helena, MT 59601
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Everett, WA
- NPI 1184906513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637971200000",
"number": "1124685565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5133",
"city": "HELENA",
"state": "MT",
"postal_code": "596045133",
"telephone_number": "406-459-1972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 W CUSTER AVE",
"city": "HELENA",
"state": "MT",
"postal_code": "596020219",
"telephone_number": "406-459-1972",
"fax_number": "406-502-1265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGETICS MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-21",
"last_updated": "2021-11-27",
"certification_date": "2021-11-27",
"status": "A",
"authorized_official_last_name": "WOJCIECHOWSKI",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "406-475-2060",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Synergetics Youth Programs, LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.