Jeff Katra Medical Services. PLLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

JEFF KATRA MEDICAL SERVICES. PLLC

Doing business as

Synapse Integrative Medicine

Practice address

631 Berkmar Cir
Charlottesville, VA 22901-1464

Phone

(434) 400-9668

Fax

(434) 465-6018

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Jeff Jason Katra, DO

Title

Sole Member Owner

Phone

(570) 690-4186

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• SYNAPSE INTEGRATIVE MEDICINE Doing business as

Locations

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1518676121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8041",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229068041",
            "telephone_number": "804-282-9133",
            "fax_number": "804-282-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BERKMAR CIR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011464",
            "telephone_number": "434-400-9668",
            "fax_number": "434-465-6018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 TINKLING SPRINGS ROAD",
            "address_purpose": "LOCATION",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "22939",
            "country_code": "US",
            "telephone_number": "434-400-9668",
            "fax_number": "434-465-6018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2137 Lakeside Dr",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245016806",
            "country_code": "US",
            "telephone_number": "434-400-9386",
            "fax_number": "804-282-9135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFF KATRA MEDICAL SERVICES. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "KATRA",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "SOLE MEMBER OWNER",
        "authorized_official_telephone_number": "570-690-4186",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1558882860",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYNAPSE INTEGRATIVE MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meg Jay, PH.D.
• Shruti Jayachandra, MD
• Sudha P Jayaraman, MD
• Robert Kirk Jayne, CRNA
• JC Wolfe DDS PC
• Jefferson Area Board for Aging
• Jefferson Cardiovascular Associates
• Jefferson Nephrology, LTD
• Jefferson OB GYN LTD
• Jefferson OB GYN LTD

• Substance Use Disorder Rehabilitation Clinic/Center in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.