Organization Active NPI

Synergy Wellness LLC

  • Marriage & Family Therapist
  • Guilford, CT
National Provider Identifier
1710618293
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SYNERGY WELLNESS LLC
Practice address
741 Boston Post Rd Ste 308
Guilford, CT 06437-2714
Phone
(860) 324-8747
NPI assigned
Jun 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Authorized official

Name
Charlotte SnetroNPI 1386185130
Title
Managing Member
Phone
(860) 324-8747

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

741 Boston Post Rd Ste 308
Guilford, CT 06437-2714

Mailing address

75 Harrison Ave
Wallingford, CT 06492-5003
Phone (860) 324-8747

Other identifiers 1

IdentifierTypeStateIssuer
2586832OtherCTSECRETARY OF THE STATE OF CONNECTICUT

National Provider Directory

National Provider Directory

Locations

741 Boston Post Rd
Ste 308
Guilford, CT 06437
Phone (860) 324-8747

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": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1710618293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HARRISON AVE",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925003",
            "telephone_number": "860-324-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 BOSTON POST RD STE 308",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372714",
            "telephone_number": "860-324-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "SNETRO",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "860-324-8747"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF THE STATE OF CONNECTICUT",
            "identifier": "2586832",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.