NPIMap

Organization Active NPI

Synchrony of Visalia

  • Mental Illness Community Based Residential Treatment Facility
  • Visalia, CA
National Provider Identifier
1255602066
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
SYNCHRONY OF VISALIA
Practice address
1041 N Demaree St
Visalia, CA 93291-4119
Phone
(559) 635-4252
Fax
(559) 635-4281
NPI assigned
Jan 25, 2012
Last updated
Jan 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Dr. Edwyn W Ortiz-Nance, PSYD.NPI 1467625368
Title
Clinical Director
Phone
(559) 635-4252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

1041 N Demaree St
Visalia, CA 93291-4119

Mailing address

1041 N Demaree St
Visalia, CA 93291-4119
Phone (559) 635-4252

National Provider Directory

National Provider Directory
Tax ID family
Synchrony of Visalia4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1255602066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 N DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914119",
            "telephone_number": "559-635-4252",
            "fax_number": "559-635-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 N DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914119",
            "telephone_number": "559-635-4252",
            "fax_number": "559-635-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNCHRONY OF VISALIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "ORTIZ-NANCE",
        "authorized_official_first_name": "EDWYN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "559-635-4252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.