Organization Active NPI

Synergy Advanced Healthcare LLC

  • Primary Care Nurse Practitioner
  • Torrington, CT
National Provider Identifier
1306488762
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
SYNERGY ADVANCED HEALTHCARE LLC
Practice address
16 Bird St Ste 4
Torrington, CT 06790-3838
Phone
(860) 618-7575
Fax
(860) 618-7576
NPI assigned
Oct 16, 2019
Last updated
Apr 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Michael Allen
Title
Partner
Phone
(203) 870-1796

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary
Community Health Registered Nurse 163WC1500X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

16 Bird St Ste 4
Torrington, CT 06790-3838

Mailing address

16 Bird St Ste 4
Torrington, CT 06790-3838
Phone (860) 618-7575

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2175883Synergy Advanced Healthcare LLC16 Bird St, Ste 4, Torrington, CT 06790Certificate of waiverDec 3, 2027

National Provider Directory

National Provider Directory

Locations

16 Bird St
Ste 4
Torrington, CT 06790
Phone (860) 618-7575

51 Commercial Blvd
Torrington, CT 06790
Phone (860) 618-7575

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1306488762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BIRD ST STE 4",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903838",
            "telephone_number": "860-618-7575",
            "fax_number": "860-618-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 BIRD ST STE 4",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903838",
            "telephone_number": "860-618-7575",
            "fax_number": "860-618-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY ADVANCED HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "203-870-1796"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.