NPIMap

Organization Active NPI

Synergy Therapeutics LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1639877103
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SYNERGY THERAPEUTICS LLC
Practice address
8945 Guilford Rd Ste 140
Columbia, MD 21046-2659
Phone
(410) 988-2503
Fax
(410) 343-7899
NPI assigned
Feb 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Steven M Gordon, PMHNPNPI 1013925783
Title
Owner
Phone
(410) 988-2503

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

8945 Guilford Rd Ste 140
Columbia, MD 21046-2659

Mailing address

1504 Highland Dr
Silver Spring, MD 20910-1526
Phone (410) 988-2503

Other practice location 1

8730 Georgia Ave Ste 312
Silver Spring, MD 20910-3650
Phone (410) 988-2503

Other practice location 2

222 Bosley Ave Ste B1
Towson, MD 21204-4302
Phone (410) 988-2503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230710002680 MD Part B Supplier - Clinic/Group Practice 5092174938 Receives reassigned benefits from 8 practitioners
Practice locations: Towson, MD; Columbia, MD
O20260505000098 DC Part B Supplier - Clinic/Group Practice 5092174938 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD

National Provider Directory

National Provider Directory

Locations

8730 Georgia Ave
Ste 312
Silver Spring, MD 20910
Phone (410) 988-2503

222 Bosley Ave
Ste B1
Towson, MD 21204
Phone (410) 988-2503

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1639877103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 HIGHLAND DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101526",
            "telephone_number": "410-988-2503",
            "fax_number": "410-343-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8945 GUILFORD RD STE 140",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462659",
            "telephone_number": "410-988-2503",
            "fax_number": "410-343-7899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8730 Georgia Ave Ste 312",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209103650",
            "country_code": "US",
            "telephone_number": "410-988-2503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Bosley Ave Ste B1",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212044302",
            "country_code": "US",
            "telephone_number": "410-988-2503",
            "fax_number": "410-343-7899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYNERGY THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-988-2503",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.