NPIMap

Organization Active NPI

Synthesis Behavioral Medicine

  • Clinical Psychologist
  • Durham, NC
National Provider Identifier
1720515745
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4438 Issued in NC
Legal business name
SYNTHESIS BEHAVIORAL MEDICINE
Practice address
20 W Colony PL Ste 280
Durham, NC 27705-5591
Phone
(619) 218-4637
NPI assigned
May 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Malik MuhammadNPI 1326345588
Title
Owner
Phone
(619) 218-4637

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 4438 NC Primary

Addresses

Primary practice location

20 W Colony PL Ste 280
Durham, NC 27705-5591

Mailing address

20 W Colony PL Ste 280
Durham, NC 27705-5591
Phone (619) 218-4637

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": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720515745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W COLONY PL STE 280",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055591",
            "telephone_number": "619-218-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W COLONY PL STE 280",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055591",
            "telephone_number": "619-218-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNTHESIS BEHAVIORAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "MALIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-218-4637",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.