Synergia Integrated Telebehavioral Health LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SYNERGIA INTEGRATED TELEBEHAVIORAL HEALTH LLC

Practice address

2237 NE 169TH St
Shoreline, WA 98155-6139

Phone

(206) 365-3096

NPI assigned

Jun 4, 2020

Reactivated

Apr 7, 2021

Organization subpart

No

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

Authorized official

Name

Philip HirschNPI 1063507895

Title

Owner

Phone

(206) 491-2796

Specialties & licenses 2

Addresses

Practitioners 1

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

• Philip Alan Hirsch, PH.D.

  • Counseling Psychologist
  • Shoreline, WA
  • NPI 1063507895
  NPD Authorized official

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1245854371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 NE 169TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981556139",
            "telephone_number": "206-365-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 NE 169TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981556139",
            "telephone_number": "206-365-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGIA INTEGRATED TELEBEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "deactivation_date": "2021-03-01",
        "reactivation_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-491-2796"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sutton, LICSW
• Christine Suydam
• Susanna Swanagan, CDPT
• Mary Calvin Swayze, SLP
• Colleen Syms, OT
• Svetlana O Syropyatova, DPT
• Meghan E. Szczebak, PSYD - PSYCHOLOGIST
• Sadaf Taheri, DDS
• Etsuko Takada
• Talk Learn & Communicate

• Adult Mental Health Clinic/Center in Shoreline, WA
• Providers in Shoreline, 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 Aug 19, 2022; 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.