NPIMap

Organization Active NPI

Syringa Psychotherapy

  • Community/Behavioral Health Agency
  • Sandpoint, ID
National Provider Identifier
1679860746
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCPC-4465 Issued in ID
Legal business name
SYRINGA PSYCHOTHERAPY
Practice address
212 N 1St Ave
Suite 203
Sandpoint, ID 83864-1436
Phone
(208) 946-5242
NPI assigned
Jul 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Mr. Clark Edward Richman, LCPCNPI 1467635748
Title
Partner
Phone
(208) 946-5242

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCPC-4465 ID Primary
Community/Behavioral Health Agency 251S00000X LPC-4235 ID

Addresses

Primary practice location

212 N 1St Ave
Suite 203
Sandpoint, ID 83864-1436

Mailing address

212 N 1St Ave
Suite 203
Sandpoint, ID 83864-1436
Phone (208) 946-5242

National Provider Directory

National Provider Directory

Locations

212 N 1st Ave
Ste 203
Sandpoint, ID 83864
Phone (208) 946-5242

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1679860746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N 1ST AVE",
            "address_2": "SUITE 203",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641436",
            "telephone_number": "208-946-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N 1ST AVE",
            "address_2": "SUITE 203",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641436",
            "telephone_number": "208-946-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRINGA PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "RICHMAN",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "208-946-5242",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LCPC-4465",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LPC-4235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

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