Organization Active NPI

Synergy Practice Associates

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1316433402
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
180.010601 Issued in IL
Legal business name
SYNERGY PRACTICE ASSOCIATES
Practice address
334 W Old Town CT
Chicago, IL 60610-7546
Phone
(630) 710-9494
NPI assigned
Jul 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Authorized official

Name
Ms. Farah Huq
Title
Psychotherapist
Phone
(630) 710-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 180.010601 IL Primary

Addresses

Primary practice location

334 W Old Town CT
Chicago, IL 60610-7546

Mailing address

334 W Old Town CT
Chicago, IL 60610-7546

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1316433402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 W OLD TOWN CT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 W OLD TOWN CT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107546",
            "telephone_number": "630-710-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PRACTICE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "HUQ",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "630-710-9494",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "180.010601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.