Active NPI
Synergy Practice Associates
- Adult Mental Health Clinic/Center
- Chicago, IL
National Provider Identifier
1316433402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 180.010601
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.