Synergy Behavioral Health Center, P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPCC LADAC Issued in NM

Legal business name

SYNERGY BEHAVIORAL HEALTH CENTER, P.C.

Practice address

211 W Mesa Ave
Suite #4
Gallup, NM 87301-6382

Phone

(505) 862-9992

Fax

(505) 862-9992

NPI assigned

Mar 21, 2014

Organization subpart

No

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

Authorized official

Name

William Clay Pearson, M.S. LPCC LADACNPI 1417160987

Title

Director

Phone

(505) 879-0404

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• William Clay Pearson, M.S.

  • Mental Health Counselor
  • Gallup, NM
  • NPI 1417160987
  NPD (past) Authorized official

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1629495296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3579",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873053579",
            "telephone_number": "505-726-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W MESA AVE",
            "address_2": "SUITE #4",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016382",
            "telephone_number": "505-862-9992",
            "fax_number": "505-862-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY BEHAVIORAL HEALTH CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-879-0404",
        "authorized_official_credential": "M.S. LPCC LADAC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NM",
            "license": "LPCC LADAC",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "LPCC LADAC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anandan Swaminathan, MD
• Charlotte Ann Swindal, CNM
• Lauren Swinney, RN
• Synapse Integrated Psychology, LLC
• Synergy Agency Services
• Julia Taggart, RN
• Carlene Tahe
• Ma.Nita Talido, RN
• Shaffone Talkalai
• Marwa Taman, RN

• Community/Behavioral Health Agency in Gallup, NM
• Providers in Gallup, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.