Active NPI
The Synolyst Corporation
- Behavior Analyst
- Palmetto Bay, FL
National Provider Identifier
1447917653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- THE SYNOLYST CORPORATION
- Practice address
- 17591 S Dixie Hwy
Palmetto Bay, FL 33157-5435 - Phone
- (305) 916-1256
- Fax
- (305) 489-7795
- NPI assigned
- Nov 22, 2021
- 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
- Dr. Jonathan A Rodriguez, PA, EDD
- Title
- Owner
- Phone
- (305) 916-1256
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Adult Companion | 372600000X |
Addresses
Primary practice location
17591 S Dixie Hwy
Palmetto Bay, FL 33157-5435
Mailing address
10383 SW 186TH St
Cutler Bay, FL 33157-6824
Phone (786) 560-9069
Other practice location 1
10383 SW 186th St
Cutler Bay, FL 33157-6824
Phone (786) 560-9069
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 238381 | Medicaid | FL | |
| 113200300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668297600000",
"number": "1447917653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10383 SW 186TH ST",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331576824",
"telephone_number": "786-560-9069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17591 S DIXIE HWY",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331575435",
"telephone_number": "305-916-1256",
"fax_number": "305-489-7795"
}
],
"practiceLocations": [
{
"address_1": "10383 SW 186th St",
"address_purpose": "LOCATION",
"city": "Cutler Bay",
"state": "FL",
"postal_code": "331576824",
"country_code": "US",
"telephone_number": "786-560-9069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE SYNOLYST CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-22",
"last_updated": "2022-11-13",
"certification_date": "2022-11-13",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-916-1256",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PA, EDD"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "238381",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113200300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palmetto Bay, FL
Sources for this page
- 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.