Synergy Behavioral Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SYNERGY BEHAVIORAL INC.

Practice address

26447 Rancho Pkwy S
Lake Forest, CA 92630-8326

Phone

(310) 951-3521

NPI assigned

Feb 16, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Rick Andrew Perez, M.S., B.C.B.A

Title

Cheif Executive Officer

Phone

(310) 951-3521

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1639538820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26447 RANCHO PKWY S",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26447 RANCHO PKWY S",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308326",
            "telephone_number": "310-951-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY BEHAVIORAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-951-3521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., B.C.B.A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.