Active NPI
Synapses Health LLC
- Psychiatric/Mental Health Nurse Practitioner
- Whitehall, PA
National Provider Identifier
1861183048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Bernice Loretta Moore, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Whitehall, PA
- NPI 1750809919
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.