Active NPI
Synergy Group of Eau Claire SC
- Counseling Psychologist
- Eau Claire, WI
National Provider Identifier
1568770535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2294-57
- Legal business name
- SYNERGY GROUP OF EAU CLAIRE SC
- Practice address
- 2005 Highland Ave
Eau Claire, WI 54701-4455 - Phone
- (715) 834-3171
- Fax
- (715) 834-3174
- NPI assigned
- Sep 23, 2010
- 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
- Mark Bjerke, PHD
- Title
- Licensed Psychologist
- Phone
- (715) 834-3171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2294-57 | WI | Primary |
Addresses
Primary practice location
2005 Highland Ave
Eau Claire, WI 54701-4455
Mailing address
2005 Highland Ave
Eau Claire, WI 54701-4455
Phone (715) 834-3171
Other names 1
- Vantage Point Clinic & Assessment Center
National Provider Directory
National Provider DirectoryLocations
826 S Hastings Way
Eau Claire, WI 54701
Phone (715) 834-3171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387497600000",
"number": "1568770535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 HIGHLAND AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547014455",
"telephone_number": "715-834-3171",
"fax_number": "715-834-3174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 HIGHLAND AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547014455",
"telephone_number": "715-834-3171",
"fax_number": "715-834-3174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY GROUP OF EAU CLAIRE SC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-23",
"last_updated": "2013-12-20",
"status": "A",
"authorized_official_last_name": "BJERKE",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "715-834-3171",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "WI",
"license": "2294-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vantage Point Clinic & Assessment Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.