Organization Active NPI

Synergypsych

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Park, FL
National Provider Identifier
1700528395
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SYNERGYPSYCH
Practice address
426 Foresteria Dr
Lake Park, FL 33403-3308
Phone
(561) 667-3577
NPI assigned
Apr 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
Christine BarbatoNPI 1124647789
Title
Aprn
Phone
(561) 667-3577

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

426 Foresteria Dr
Lake Park, FL 33403-3308

Mailing address

426 Foresteria Dr
Lake Park, FL 33403-3308

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL synergypsych3@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240318001490 FL Part B Supplier - Clinic/Group Practice 5496192114 Receives reassigned benefits from 1 practitioner
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1700528395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 FORESTERIA DR",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 FORESTERIA DR",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033308",
            "telephone_number": "561-667-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGYPSYCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-09",
        "status": "A",
        "authorized_official_last_name": "BARBATO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "561-667-3577"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "synergypsych3@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "426 Foresteria Dr",
            "city": "Lake Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334033308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.