NPIMap

Organization Active NPI

Synchrony of Visalia, Inc.

  • Community/Behavioral Health Agency
  • Visalia, CA
National Provider Identifier
1992071344
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SYNCHRONY OF VISALIA, INC.
Practice address
1041 N Demaree St
Visalia, CA 93291-4119
Phone
(559) 635-4281
NPI assigned
Mar 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Dr. Edwyn Ortiz-Nance, PSY.D.
Title
Psychologist
Phone
(559) 635-4252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CA Primary

Addresses

Primary practice location

1041 N Demaree St
Visalia, CA 93291-4119

Mailing address

1041 N Demaree St
Visalia, CA 93291-4119
Phone (559) 635-4281

National Provider Directory

National Provider Directory
Tax ID family
Synchrony of Visalia4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1992071344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 N DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914119",
            "telephone_number": "559-635-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 N DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914119",
            "telephone_number": "559-635-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNCHRONY OF VISALIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "ORTIZ-NANCE",
        "authorized_official_first_name": "EDWYN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "559-635-4252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.