Organization Active NPI

Synergen Behavioral Health, P.a.

  • Adult Mental Health Clinic/Center
  • Maplewood, MN
National Provider Identifier
1740829837
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SYNERGEN BEHAVIORAL HEALTH, P.A.
Practice address
2785 White Bear Ave N Ste 105
Maplewood, MN 55109-1320
Phone
(651) 433-7207
Fax
(651) 410-1502
NPI assigned
Jan 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Dr. Ronald Jerome Hardrict, MDNPI 1689719742
Title
President/Ceo
Phone
(651) 433-7207

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2785 White Bear Ave N Ste 105
Maplewood, MN 55109-1320

Mailing address

2785 White Bear Ave N Ste 105
Maplewood, MN 55109-1320
Phone (651) 433-7207

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200806002886 MN Part B Supplier - Clinic/Group Practice 3678998796 Receives reassigned benefits from 4 practitioners
Practice locations: Maplewood, MN

National Provider Directory

National Provider Directory

Locations

3500 E 28th St
Minneapolis, MN 55406
Phone (612) 455-4044

1919 University Ave W
Ste 501
Saint Paul, MN 55104
Phone (651) 433-7207

2785 White Bear Ave N
Ste 105
Saint Paul, MN 55109
Phone (651) 433-7207

2882 Middle St
Saint Paul, MN 55117
Phone (651) 433-7207

1310 Highway 96 E
Ste 200
White Bear Lk, MN 55110
Phone (651) 426-3071

Practitioners & affiliated clinicians

Practitioners 5

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": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1740829837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 WHITE BEAR AVE N STE 105",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091320",
            "telephone_number": "651-433-7207",
            "fax_number": "651-410-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 WHITE BEAR AVE N STE 105",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091320",
            "telephone_number": "651-433-7207",
            "fax_number": "651-410-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGEN BEHAVIORAL HEALTH, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "HARDRICT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "651-433-7207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.