Organization Active NPI

Synergy Psychiatry and Wellness, PLLC

  • Clinical Neurophysiology Physician
  • Georgetown, KY
National Provider Identifier
1275364002
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
SYNERGY PSYCHIATRY AND WELLNESS, PLLC
Practice address
203 Champion Way Ste 7
Georgetown, KY 40324-8861
Phone
(270) 225-4033
NPI assigned
Aug 13, 2024
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Jaime Varney, PMHNP-BCNPI 1588294136
Title
Ceo
Phone
(270) 225-4033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X NU Primary
Developmental Disabilities Clinic/Center 261QD1600X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

203 Champion Way Ste 7
Georgetown, KY 40324-8861

Mailing address

203 Champion Way Ste 7
Georgetown, KY 40324-8861
Phone (270) 225-4033

National Provider Directory

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": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1275364002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CHAMPION WAY STE 7",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248861",
            "telephone_number": "270-225-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CHAMPION WAY STE 7",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248861",
            "telephone_number": "270-225-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PSYCHIATRY AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "VARNEY",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-225-4033",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.