Organization Active NPI

Synergy Neuropsychiatry, PC

  • Psychiatry Physician
  • Portage, MI
National Provider Identifier
1780277038
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SYNERGY NEUROPSYCHIATRY, PC
Practice address
2176 E Centre Ave
Portage, MI 49002-4420
Phone
(269) 459-1273
Fax
(269) 459-1297
NPI assigned
Feb 18, 2021
Last updated
Aug 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Mauli Verma, M.D.NPI 1134322308
Title
Owner
Phone
(269) 459-1273

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
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

2176 E Centre Ave
Portage, MI 49002-4420

Mailing address

2176 E Centre Ave
Portage, MI 49002-4420
Phone (269) 459-1284

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210624003433 MI Part B Supplier - Clinic/Group Practice 6608277884 Receives reassigned benefits from 1 practitioner
Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory

Locations

141 E Michigan Ave
Ste 302
Kalamazoo, MI 49007
Phone (269) 459-1273

2176 E Centre Ave
Portage, MI 49002

2750 Old Centre Rd
Ste 150
Portage, MI 49024
Phone (269) 598-5491

2750 Old Centre Rd
Ste 160
Portage, MI 49024

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23687/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1780277038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 E CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490024420",
            "telephone_number": "269-459-1284",
            "fax_number": "269-459-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2176 E CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490024420",
            "telephone_number": "269-459-1273",
            "fax_number": "269-459-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY NEUROPSYCHIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "MAULI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-459-1273",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.