NPIMap

Organization Active NPI

Devine Synergy LCC

  • Community/Behavioral Health Agency
  • White Plains, MD
National Provider Identifier
1477437291
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DEVINE SYNERGY LCC
Doing business as
Devine Synergy LCC
Practice address
10665 Stanhaven PL
White Plains, MD 20695-3055
Phone
(443) 992-0069
NPI assigned
Aug 4, 2025
Last updated
Aug 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Mr. Shirome Reed, COONPI 1366214504
Title
Coo
Phone
(443) 992-0069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

10665 Stanhaven PL
White Plains, MD 20695-3055

Mailing address

10665 Stanhaven PL
White Plains, MD 20695-3055
Phone (443) 992-0069

Other names 1

  • Devine Synergy LCC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Devine Synergy LCC4 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.

Locations

10665 Stanhaven Pl
White Plains, MD 20695
Phone (301) 535-3232

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1477437291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10665 STANHAVEN PL",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953055",
            "telephone_number": "443-992-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10665 STANHAVEN PL",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953055",
            "telephone_number": "443-992-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE SYNERGY LCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "SHIROME",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "443-992-0069",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devine Synergy LCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Plains, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.