Active NPI
Synergen Behavioral Health, P.a.
- Adult Mental Health Clinic/Center
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald Jerome Hardrict, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatry Physician
- Maplewood, MN
- NPI 1689719742
-
- Psychiatric/Mental Health Nurse Practitioner
- Maplewood, MN
- NPI 1952838997
Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Saint Paul, MN
- NPI 1730637588
-
- Psychiatric/Mental Health Nurse Practitioner
- Minneapolis, MN
- NPI 1124799499
-
- Psychiatric/Mental Health Nurse Practitioner
- Tampa, FL
- NPI 1558712661
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.