Synod Residential Services

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SYNOD RESIDENTIAL SERVICES

Practice address

615 S Mansfield St
Ypsilanti, MI 48197-5156

Phone

(734) 483-9363

Fax

(734) 483-9557

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Keta J Cowan, JD

Title

Executive Director

Phone

(734) 483-9363

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Laurie Lutomski, LBSW

  • Social Worker
  • Ypsilanti, MI
  • NPI 1982786372
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609825124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980465",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481980465",
            "telephone_number": "734-483-9363",
            "fax_number": "734-483-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S MANSFIELD ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481975156",
            "telephone_number": "734-483-9363",
            "fax_number": "734-483-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNOD RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "KETA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "734-483-9363",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Anne Swisher, LMSW
• Mary Swoboda, RN
• Dionne Swor, DO
• Javeria Farook Syed, M.D.
• Bridget Sykes
• Robert Piotr Szczepankiewicz, PHARMD
• Matthew Szubelak
• Mary Katherine Szuma, PA-C
• Terri Szydlowski, MS CEP
• Brandon Szydzik

• Mental Illness Community Based Residential Treatment Facility in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Mental Illness Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.