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SYNAPSE INTEGRATED PSYCHOLOGY LLC NPI 1033702360


NPI Information

NPI: 1033702360
Provider Name: SYNAPSE INTEGRATED PSYCHOLOGY, LLC
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
303 S FIRST ST
GALLUP, NM
ZIP 87301
Phone: (505) 397-7197
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SYNAPSE INTEGRATED PSYCHOLOGY, LLC is a prescribing (medical) psychologist in Gallup, NM. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. SYNAPSE INTEGRATED PSYCHOLOGY, LLC NPI is 1033702360. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

303 S FIRST ST
GALLUP, NM
ZIP 87301-211
Phone: (505) 397-7197

The provider's authorized official is Juliana Marie Stravers .
The authorized official title is Member/ Owner and has the following contact phone number (616) 502-9681.

The enumeration date for this NPI number is 2/17/2021 and was last updated on 6/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2103TP0016XPsychologistPrescribing (Medical)Yes
3106H00000XMarriage & Family TherapistNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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