NPIMap

Organization Active NPI

Synergy of Monticello Inc

  • Psychiatry Physician
  • Monticello, NY
National Provider Identifier
1447229950
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SYNERGY OF MONTICELLO INC
Practice address
2 High St
Monticello, NY 12701-1343
Phone
(845) 791-8800
Fax
(845) 791-7051
NPI assigned
Mar 16, 2006
Last updated
Sep 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Authorized official

Name
Dashawn Smith
Title
Office Manager
Phone
(845) 791-8800

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X
Clinical Social Worker 1041C0700X
Licensed Practical Nurse 164W00000X
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

2 High St
Monticello, NY 12701-1343

Mailing address

2 High St
Monticello, NY 12701-1343
Phone (845) 791-8800

Other identifiers 1

IdentifierTypeStateIssuer
WANT41OtherNYMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070314000622 NY Part B Supplier - Clinic/Group Practice 2668575499 Receives reassigned benefits from 3 practitioners
Practice locations: Monticello, NY

National Provider Directory

National Provider Directory

Locations

2 High St
Monticello, NY 12701
Phone (845) 791-8800

64 Jefferson St
#1
Monticello, NY 12701
Phone (845) 791-8800

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789171200000",
    "number": "1447229950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HIGH ST",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011343",
            "telephone_number": "845-791-8800",
            "fax_number": "845-791-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HIGH ST",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011343",
            "telephone_number": "845-791-8800",
            "fax_number": "845-791-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY OF MONTICELLO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DASHAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-791-8800"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "WANT41",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.