Synthesis Mind/Body LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

26314 Issued in OR

Legal business name

SYNTHESIS MIND/BODY LLC

Practice address

121 NE a St
Ste a
Grants Pass, OR 97526-2111

Phone

(541) 471-8077

Fax

(541) 471-8074

NPI assigned

Oct 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen A Hughes-Kuda, MD

Title

President

Phone

(541) 471-8077

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jackson T Dempsey, MD

  • Psychiatry Physician
  • Medford, OR
  • NPI 1174678312
  NPD (past)

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1598017691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NE A ST",
            "address_2": "STE A",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262111",
            "telephone_number": "541-471-8077",
            "fax_number": "541-471-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NE A ST",
            "address_2": "STE A",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262111",
            "telephone_number": "541-471-8077",
            "fax_number": "541-471-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNTHESIS MIND/BODY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "HUGHES-KUDA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-471-8077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "26314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephonie Sweeney
• Monique Belle Swenson, MA
• Scott Swindells, PA-C
• Gina M Swiney
• Ismail Syed, RPH
• Brittany Leigh Tabler, MD
• Heather Talay
• Kimberly Rivers Tambellini, LMT
• Terry Louise Tamraz, RN
• Megan Tangeman, LMT

• Psychiatry Physician in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.