NPIMap

Organization Active NPI

Synaptic Symphonic LLC

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1407493919
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SYNAPTIC SYMPHONIC LLC
Practice address
8923 La Manga Ave
Las Vegas, NV 89147-6022
Phone
(702) 504-6590
NPI assigned
Dec 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Alexey Martin Manso
Title
Owner
Phone
(702) 504-6590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

8923 La Manga Ave
Las Vegas, NV 89147-6022

Mailing address

8923 La Manga Ave
Las Vegas, NV 89147-6022

Other names 1

  • Synaptic Symphony Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1407493919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8923 LA MANGA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8923 LA MANGA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476022",
            "telephone_number": "702-504-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNAPTIC SYMPHONIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "MARTIN MANSO",
        "authorized_official_first_name": "ALEXEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-504-6590"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synaptic Symphony",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.