Synergy Psychological Associates, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SYNERGY PSYCHOLOGICAL ASSOCIATES, LLC

Practice address

1171 Lancaster Ave Ste 100
Berwyn, PA 19312-2602

Phone

(484) 674-6324

Fax

(484) 674-6324

NPI assigned

Aug 9, 2024

Last updated

Aug 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Daniella Chaikin, PSYDNPI 1962607010

Title

Owner/Psychologist

Phone

(484) 674-6324

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Nicole Daniella Chaikin, PSY.D.

  • Clinical Psychologist
  • Berwyn, PA
  • NPI 1962607010
  NPD Authorized official

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1700617941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 LANCASTER AVE STE 100",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193122602",
            "telephone_number": "484-674-6324",
            "fax_number": "484-674-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 LANCASTER AVE STE 100",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193122602",
            "telephone_number": "484-674-6324",
            "fax_number": "484-674-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PSYCHOLOGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "CHAIKIN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "DANIELLA",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "484-674-6324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Spancake
• Christine Marie Specht, MSN, RN, PMHCNS-BC
• Candace C Stevens
• Lindsay Stotts, MS, SLP
• Surrey Services for Seniors
• Tara Devineni LCSW LLC
• David M Taylor, D.M.D
• The Berwyn Fire Company (Berwyn Fire Company)
• The Devereux Foundation
• The Devereux Foundation

• Clinical Psychologist in Berwyn, PA
• Providers in Berwyn, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.