Synthesis Psychotherapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104228 Issued in MA

Legal business name

SYNTHESIS PSYCHOTHERAPY, LLC

Practice address

165 Main St Unit 204a
Medway, MA 02053-1591

Phone

(508) 533-7635

Fax

(508) 533-7637

NPI assigned

Jul 16, 2018

Organization subpart

No

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

Authorized official

Name

Regina M. McCaffery, PH. D., LICSWNPI 1659390169

Title

Manager

Phone

(508) 533-7635

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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.

• Regina M McCaffery, LICSW

  • Clinical Social Worker
  • Worcester, MA
  • NPI 1659390169
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1194201970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MAIN ST UNIT 204A",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531591",
            "telephone_number": "508-533-7635",
            "fax_number": "508-533-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAIN ST UNIT 204A",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531591",
            "telephone_number": "508-533-7635",
            "fax_number": "508-533-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNTHESIS PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "MCCAFFERY",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-533-7635",
        "authorized_official_credential": "PH. D., LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Medway, MA
• Providers in Medway, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.