Organization Active NPI

Synaptic Cove Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1285434415
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SYNAPTIC COVE MENTAL HEALTH
Practice address
103 Colum CT
Warner Robins, GA 31088-2409
Phone
(478) 305-3198
Fax
(470) 826-6434
NPI assigned
Mar 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Ms. Josephine Uy Driz, PHMNPNPI 1962234971
Title
Provider
Phone
(478) 305-3198

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

103 Colum CT
Warner Robins, GA 31088-2409

Mailing address

103 Colum CT
Warner Robins, GA 31088-2409
Phone (478) 305-3198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250502000732 GA Part B Supplier - Clinic/Group Practice 0941726996 Receives reassigned benefits from 2 practitioners
Practice locations: Warner Robins, GA

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": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1285434415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 COLUM CT",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882409",
            "telephone_number": "478-305-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COLUM CT",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882409",
            "telephone_number": "478-305-3198",
            "fax_number": "470-826-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNAPTIC COVE MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "DRIZ",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "UY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "478-305-3198",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHMNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.