Synrise Wellness LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SYNRISE WELLNESS LLC

Practice address

65 Walden St
Cambridge, MA 02140-3325

Phone

(617) 297-7791

NPI assigned

Aug 31, 2022

Organization subpart

No

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

Authorized official

Name

Yun Wang, PSYDNPI 1629432877

Title

Owner

Phone

(617) 297-7791

Specialties & licenses 1

Addresses

Practitioners 1

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

• Yun Wang, PSYD

  • Clinical Psychologist
  • Cambridge, MA
  • NPI 1629432877
  NPD Authorized official

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668297600000",
    "number": "1316667207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MIDDLESEX AVE # 1089",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WALDEN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021403325",
            "telephone_number": "617-297-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNRISE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-11-13",
        "certification_date": "2022-11-13",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "YUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-297-7791",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Elizabeth Sweeney, COTA
• Kelli Swensen, MS, RD, LDN
• Susan R Swett, RN
• SWH Holdings, Inc
• Sylvain Counseling Services
• Gabriel Szentpaly, M.D.
• Alexander Szewczyk
• T.P.Deahl D.D.S., P.C.
• Jennifer Ta Slatkavitz
• Michaela Ta, PHARMD

• Psychologist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2022; 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.