Synergistic Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 24393 Issued in CA

Legal business name

SYNERGISTIC PSYCHOLOGICAL SERVICES

Practice address

17401 Irvine Blvd
Suite J
Tustin, CA 92780-3038

Phone

(714) 734-4244

Fax

(714) 983-2333

NPI assigned

Sep 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Tammy Gay Cleary, PSYD

Title

President

Phone

(714) 734-4244

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1497038905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17401 IRVINE BLVD",
            "address_2": "SUITE J",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803038",
            "telephone_number": "714-734-4244",
            "fax_number": "714-983-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17401 IRVINE BLVD",
            "address_2": "SUITE J",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803038",
            "telephone_number": "714-734-4244",
            "fax_number": "714-983-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGISTIC PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "CLEARY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-734-4244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 24393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FH483A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Jason Sweaza, M.A.
• Robert Leroy Swenson, DDS
• Jacklyn Roberts Swick, DPT
• Joseph Spencer Swickard, M.D.
• Nikita Mitchell Swopshire, BS, MSM
• Andy Ta
• Mellica Tabatabaeepour
• Francisco Alejandro Tagle, D.C.
• Tahany Maurice Habashy M.D. Inc
• Fion Tai, WHNP-BC

• Clinical Psychologist in Tustin, CA
• Providers in Tustin, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.