Organization Active NPI

Synergetics Mental Health

  • Social Worker
  • Helena, MT
National Provider Identifier
1124685565
Registry record updated Nov 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
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

Updated by the provider on Nov 27, 2021

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

Authorized official

Name
Mr. David A Wojciechowski, LCSWNPI 1184906513
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)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.