Active NPI
Insynergy
- Addiction Medicine (Psychiatry & Neurology) Physician
- Creve Coeur, MO
National Provider Identifier
1487915195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- Legal business name
- INSYNERGY
- Practice address
- 11477 Olde Cabin Rd Ste 210
Creve Coeur, MO 63141-7129 - Phone
- (314) 649-7867
- NPI assigned
- May 30, 2012
- 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
- Arturo Taca, M.D.
- Title
- Medical Director
- Phone
- (314) 649-7867
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | Primary | ||
| Addiction Psychiatry Physician | 2084P0802X |
Addresses
Primary practice location
11477 Olde Cabin Rd Ste 210
Creve Coeur, MO 63141-7129
Mailing address
11477 Olde Cabin Rd Ste 210
Creve Coeur, MO 63141-7129
Phone (314) 649-7867
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338336000000",
"number": "1487915195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11477 OLDE CABIN RD STE 210",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417129",
"telephone_number": "314-649-7867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11477 OLDE CABIN RD STE 210",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417129",
"telephone_number": "314-649-7867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSYNERGY",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-30",
"last_updated": "2012-05-30",
"status": "A",
"authorized_official_last_name": "TACA",
"authorized_official_first_name": "ARTURO",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "314-649-7867",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Creve Coeur, MO
- Inner Wellness LLC
- Inner West Psychiatry and Wellness Center LLC
- Innovative Senior Care Home Health of St Louis LLC
- Inspire Professional Counseling Services
- Insync Brain LLC
- Stephanie Michelle Iovaldi, OTR
- Stephanie Denise Ipock, PHARM.D.
- Ahmad Hassan Irshad, MD
- Kaitlin Isbell
- Donald Edward Isselhard, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.