Organization Active NPI

Synergy of Spirit

  • Clinical Social Worker
  • Chester, NY
National Provider Identifier
1821467556
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SYNERGY OF SPIRIT
Practice address
4 Main St
Chester, NY 10918-1255
Phone
(914) 643-5700
Fax
(845) 342-2993
NPI assigned
Sep 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Authorized official

Name
Regina Orsi, LCSWNPI 1003286923
Title
President
Phone
(845) 342-2993

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 Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4 Main St
Chester, NY 10918-1255

Mailing address

13 Bonnell St
Middletown, NY 10940-5632
Phone (845) 342-2993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160321001343 NY Part B Supplier - Clinic/Group Practice 4789981606 Receives reassigned benefits from 1 practitioner
Practice locations: Chester, NY

National Provider Directory

National Provider Directory

Locations

4 Main St
Chester, NY 10918
Phone (845) 469-2481

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": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1821467556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BONNELL ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405632",
            "telephone_number": "845-342-2993",
            "fax_number": "845-342-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MAIN ST",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "109181255",
            "telephone_number": "914-643-5700",
            "fax_number": "845-342-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY OF SPIRIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "ORSI",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-342-2993",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.