NPIMap

Organization Active NPI

Synaptx, LTD

  • Point of Service
  • Crystal Lake, IL
National Provider Identifier
1669637344
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
SYNAPTX, LTD
Practice address
1799 Kings Gate LN
Crystal Lake, IL 60014-2906
Phone
(815) 276-7786
Fax
(815) 788-1321
NPI assigned
Jul 22, 2008
Last updated
Jul 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Mrs. Stacey Marie Isrow, BS/PSYC, DTNPI 1649366063
Title
Developmental Therapist/President
Phone
(815) 276-7786

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
Point of Service 305S00000X NU Primary

Addresses

Primary practice location

1799 Kings Gate LN
Crystal Lake, IL 60014-2906

Mailing address

1799 Kings Gate LN
Crystal Lake, IL 60014-2906
Phone (815) 276-7786

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1669637344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 KINGS GATE LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600142906",
            "telephone_number": "815-276-7786",
            "fax_number": "815-788-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 KINGS GATE LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600142906",
            "telephone_number": "815-276-7786",
            "fax_number": "815-788-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNAPTX, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "ISROW",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DEVELOPMENTAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "815-276-7786",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS/PSYC, DT"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.