Synergy Healthcare, PSC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SYNERGY HEALTHCARE, PSC

Practice address

47 Cavalier Blvd Ste 120
Florence, KY 41042-3970

Phone

(597) 574-3538

Fax

(859) 534-0865

NPI assigned

Sep 30, 2022

Organization subpart

No

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

Authorized official

Name

Deepak Mittal, MD

Title

President

Phone

(859) 757-4353

Specialties & licenses 1

Addresses

Tax ID family

Synergy Healthcare PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Synergy Healthcare, PSC

  • Substance Abuse Rehabilitation Facility
  • Owenton, KY
  • NPI 1770450371
  NPD tax ID

Locations

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1790409902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CAVALIER BLVD STE 120",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423970",
            "telephone_number": "597-574-3538",
            "fax_number": "859-534-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CAVALIER BLVD STE 120",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423970",
            "telephone_number": "597-574-3538",
            "fax_number": "859-534-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY HEALTHCARE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "MITTAL",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-757-4353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latasha Marie Swafford, NP
• Barbara Jean Sweeney
• Mary E Sweeney, RPH
• Nancy Swikert, M.D.
• Sandra Jean Swinford
• Synergy Holistic Health Center LLC
• T & T Eyecare LLC
• T3B Services, LLC
• Tabb, LLC
• Richard Thomas Tabeling Jr., OD

• Psychologist in Florence, KY
• Providers in Florence, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.