Organization Active NPI

Synaptic Institute Inc.

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1295432235
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SYNAPTIC INSTITUTE INC.
Practice address
1836 NE 7TH Ave Ste 205
Portland, OR 97212-3998
Phone
(971) 403-0884
Fax
(866) 568-4686
NPI assigned
Feb 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Dr. Matthew Hicks, NDNPI 1740764927
Title
Ceo
Phone
(971) 403-0884

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
Community/Behavioral Health Agency 251S00000X
Voluntary or Charitable Agency 251V00000X
Clinic/Center 261Q00000X Primary
Adult Mental Health Clinic/Center 261QM0850X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1836 NE 7TH Ave Ste 205
Portland, OR 97212-3998

Mailing address

1836 NE 7TH Ave Ste 205
Portland, OR 97212-3998
Phone (971) 403-0884

National Provider Directory

National Provider Directory

Locations

6536 SE Duke St
#7
Portland, OR 97206

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1295432235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 NE 7TH AVE STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123998",
            "telephone_number": "971-403-0884",
            "fax_number": "866-568-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 NE 7TH AVE STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123998",
            "telephone_number": "971-403-0884",
            "fax_number": "866-568-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNAPTIC INSTITUTE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "971-403-0884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.