Active NPI
Synergy Psychiatry and Wellness, PLLC
- Clinical Neurophysiology Physician
- Georgetown, KY
National Provider Identifier
1275364002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaime Varney, PMHNP-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Georgetown, KY
- NPI 1588294136
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.