Organization Active NPI

Centro Psicoterapeutico Integrado Sinergia

  • Clinical Social Worker
  • Guayama, PR
National Provider Identifier
1861158156
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CENTRO PSICOTERAPEUTICO INTEGRADO SINERGIA
Practice address
Ave. Los Veteranos KM 136.7
Urb. Villa Rosa 3, A23 Local 2 (Frente a Centrico)
Guayama, PR 00784
Phone
(787) 557-2677
NPI assigned
Nov 11, 2021
Last updated
Nov 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Mr. Domingo L Acosta, MSW
Title
President/ Clinical Social Worker
Phone
(787) 557-2677

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

Ave. Los Veteranos KM 136.7
Urb. Villa Rosa 3, A23 Local 2 (Frente a Centrico)
Guayama, PR 00784

Mailing address

Urb El Dorado Calle Jazmin A6-A7
Guayama, PR 00784
Phone (787) 557-2677

National Provider Directory

National Provider Directory

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": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1861158156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB EL DORADO CALLE JAZMIN A6-A7",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-557-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. LOS VETERANOS KM 136.7",
            "address_2": "URB. VILLA ROSA 3, A23 LOCAL 2 (FRENTE A CENTRICO)",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-557-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO PSICOTERAPEUTICO INTEGRADO SINERGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2022-11-01",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "DOMINGO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/ CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "787-557-2677",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.