Organization Active NPI

Synergic Therapy, Inc

  • Developmentally Disabled Services Day Training Agency
  • San Jose, CA
National Provider Identifier
1659652246
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
SP 17336 Issued in CA
Legal business name
SYNERGIC THERAPY, INC
Practice address
1150 S Bascom Ave
Suite 17
San Jose, CA 95128-3509
Phone
(408) 375-4333
NPI assigned
Sep 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Authorized official

Name
Ms. Anjlee Patel, M.A., CCC-SLP, M.ED.
Title
Ceo/Synergic Therapy, Inc
Phone
(408) 375-4333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X SP 17336 CA Primary

Addresses

Primary practice location

1150 S Bascom Ave
Suite 17
San Jose, CA 95128-3509

Mailing address

1150 S Bascom Ave
Suite 17
San Jose, CA 95128-3509
Phone (408) 375-4333

National Provider Directory

National Provider Directory

Locations

1150 S Bascom Ave
Ste 17
San Jose, CA 95128
Phone (408) 375-4333

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1659652246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S BASCOM AVE",
            "address_2": "SUITE 17",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283509",
            "telephone_number": "408-375-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S BASCOM AVE",
            "address_2": "SUITE 17",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283509",
            "telephone_number": "408-375-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGIC THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANJLEE",
        "authorized_official_title_or_position": "CEO/SYNERGIC THERAPY, INC",
        "authorized_official_telephone_number": "408-375-4333",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., CCC-SLP, M.ED."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": "SP 17336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.