Organization Active NPI

Synapses Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Whitehall, PA
National Provider Identifier
1861183048
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SYNAPSES HEALTH LLC
Practice address
2412 Gentle Hollow Dr
Whitehall, PA 18052-3985
Phone
(610) 590-9824
Fax
(610) 379-3920
NPI assigned
May 17, 2023
Last updated
May 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Miss Bernice Loretta Moore, NPNPI 1750809919
Title
CRNP/Owner
Phone
(347) 804-3685

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

2412 Gentle Hollow Dr
Whitehall, PA 18052-3985

Mailing address

PO Box 663
Whitehall, PA 18052-0663
Phone (610) 590-9824

Other names 1

  • SYNAPSES HEALTH LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230707003733 PA Part B Supplier - Clinic/Group Practice 0749649788 Receives reassigned benefits from 1 practitioner
Practice locations: Whitehall, PA

National Provider Directory

National Provider Directory

Locations

1275 Glenlivet Dr
Ste 100718
Allentown, PA 18106
Phone (610) 590-9824

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": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1861183048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 663",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180520663",
            "telephone_number": "610-590-9824",
            "fax_number": "610-379-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 GENTLE HOLLOW DR",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523985",
            "telephone_number": "610-590-9824",
            "fax_number": "610-379-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNAPSES HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_middle_name": "LORETTA",
        "authorized_official_title_or_position": "CRNP/OWNER",
        "authorized_official_telephone_number": "347-804-3685",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYNAPSES HEALTH LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whitehall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.