Synchrony Psychological Services, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SYNCHRONY PSYCHOLOGICAL SERVICES, LLC

Doing business as

Synchrony Psychological Services

Practice address

100 N Morain St Ste 206
Kennewick, WA 99336-2905

Phone

(509) 579-0156

Fax

(509) 491-3112

NPI assigned

Aug 7, 2020

Organization subpart

No

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

Authorized official

Name

Gary Charles Wolcott

Title

Managing Partner

Phone

(509) 579-0156

Specialties & licenses 1

Addresses

Other names 1

• Synchrony Psychological Services Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Linda Sue Wolcott, PHD

  • Psychologist
  • Kennewick, WA
  • NPI 1447363007
  Medicare reassignment

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1184234718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MORAIN ST STE 206",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362905",
            "telephone_number": "509-579-0156",
            "fax_number": "509-491-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MORAIN ST STE 206",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362905",
            "telephone_number": "509-579-0156",
            "fax_number": "509-491-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNCHRONY PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "WOLCOTT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "509-579-0156"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synchrony Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Synchrony Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey R Swearingen, CHW
• Sweetmeadow
• Larry Gene Swisher, D.D.S.
• Amanda Rae Sylvester, MSW, CMHS, LICSW
• Tara Symons, LICSWA
• T&T Care Home, LLC
• Sandra Tabullo Realzola
• Joshua Taff
• Edona Tahiraj
• David Tam, PHARMACIST

• Adult Mental Health Clinic/Center in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.