NPIMap

Organization Active NPI

Synergy Health Center

  • Community/Behavioral Health Agency
  • Kalamazoo, MI
National Provider Identifier
1568500023
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801081655 Issued in MI
Legal business name
SYNERGY HEALTH CENTER
Practice address
625 Harrison St
Kalamazoo, MI 49007-3681
Phone
(269) 323-1954
Fax
(269) 323-4183
NPI assigned
Feb 4, 2007
Last updated
Nov 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Ms. Valarie S Cunningham, LMSWNPI 1942413307
Title
Executive Director
Phone
(269) 323-1954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6801081655 MI Primary

Addresses

Primary practice location

625 Harrison St
Kalamazoo, MI 49007-3681

Mailing address

625 Harrison St
Kalamazoo, MI 49007-3681
Phone (269) 323-1954

Other names 1

  • GFM Enrichment Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070802000379 MI Part B Supplier - Clinic/Group Practice 3779674924 Receives reassigned benefits from 3 practitioners
Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory
Tax ID family
GFM Enrichment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

625 Harrison St
Kalamazoo, MI 49007
Phone (269) 323-1954

5805 Oakland Dr
Portage, MI 49024
Phone (269) 323-1954

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1568500023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 HARRISON ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073681",
            "telephone_number": "269-323-1954",
            "fax_number": "269-323-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 HARRISON ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073681",
            "telephone_number": "269-323-1954",
            "fax_number": "269-323-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-04",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "VALARIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "269-323-1954",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801081655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GFM Enrichment Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.