Synchrony of Visalia, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 20528 Issued in CA

Legal business name

SYNCHRONY OF VISALIA, INC.

Practice address

1041 N Demaree St
Visalia, CA 93291-4119

Phone

(559) 635-4252

Fax

(559) 635-4281

NPI assigned

Jan 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Edwyn Ortiz-Nance, PSY.D., M.O.B.

Title

Clinical Director

Phone

(559) 635-4252

Specialties & licenses 8

Addresses

Tax ID family

Synchrony of Visalia4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Synchrony of Visalia

  • Mental Illness Community Based Residential Treatment Facility
  • Visalia, CA
  • NPI 1255602066
  NPD tax ID
• Synchrony of Visalia, Inc

  • Psychologist
  • Visalia, CA
  • NPI 1457470825
  NPD tax ID
• Synchrony of Visalia, Inc.

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1992071344
  NPD tax ID

Locations

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1336410141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 N DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914119",
            "telephone_number": "559-635-4252",
            "fax_number": "559-635-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 N DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914119",
            "telephone_number": "559-635-4252",
            "fax_number": "559-635-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNCHRONY OF VISALIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "ORTIZ-NANCE",
        "authorized_official_first_name": "EDWYN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "559-635-4252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., M.O.B."
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "PSY 20528",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "PSY 20528",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY 20528",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 20528",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY 20528",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY 20528",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "CA",
            "license": "PSY 20528",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "PSY 20525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Swerdlow II, RN/ PHN
• Caysie Lynn Swift
• Sycamore Valley Academy
• Synchrony of Visalia
• Synchrony of Visalia, Inc
• Synchrony of Visalia, Inc.
• Synergy Diagnostics LLC
• Synergy Hit LLC
• Joshua Szynkowski, MD
• T a Daniels Psychological Services Inc

• Clinical Psychologist in Visalia, CA
• Providers in Visalia, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.