Synergistic Health Services, LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001918 Issued in CT

Legal business name

SYNERGISTIC HEALTH SERVICES, LLC

Practice address

1177 Silas Deane Hwy
Wethersfield, CT 06109-4348

Phone

(860) 757-3940

Fax

(860) 757-3941

NPI assigned

Feb 19, 2016

Last updated

Feb 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Lee, PA, DBH

Title

President

Phone

(860) 757-3940

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1255790143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094348",
            "telephone_number": "860-757-3940",
            "fax_number": "860-757-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094348",
            "telephone_number": "860-757-3940",
            "fax_number": "860-757-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGISTIC HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-757-3940",
        "authorized_official_credential": "PA, DBH"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001918",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CT",
            "license": "040517",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Deakin Stewart, CRNA
• Stop and Shop Supermarket Co LLC (Stop and Shop Pharmacy #610)
• Douglas Stranko, D.C.
• Carly Sundel, LCSW
• Janine E Swanson, PSYD
• Lexus Tabshey, PMHNP
• Satomi Tanaka-Munroe
• Tanush PLLC (Wethersfield family dental center)
• Anzor Tatashadze
• Camryn Tate, DPT

• Physician Assistant in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.