SYNTHESIS RECOVERY (NPI# 1073174546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073174546 |
| Entity Type | Organization |
| Organization Name | SYNTHESIS RECOVERY |
| Practice Address |
5498 Blackoak Way San Jose CA 95129-3110 |
| Mailing Address |
2238 Kirsten Lee Dr Westlake Village CA 91361-5564 |
| Practice Telephone | 3104983626 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |
| Authorized Official Name | SERGEI VIDOV (CEO) |
| Authorized Official Telephone | 3104983626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| SYNTHESIS RECOVERY CENTER | Doing Business As Name - Organization |
| Street Address |
5498 BLACKOAK WAY |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95129-3110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174188239 | Synthesis Recovery LLC | Substance Abuse Rehabilitation Facility | 5498 Blackoak Way, San Jose, CA 95129-3110 | 2019-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528535176 | Sunlife Acupuncture Health Center Inc. | Acupuncturist | 6172 Bollinger Rd., San Jose, CA 95129 | 2018-10-31 |
| 1710472642 | Shen Zhang | Acupuncturist | 1072 S De Anza Blvd Ste A108, San Jose, CA 95129 | 2018-06-23 |
| 1023531217 | Rachana Vyas Dds Inc | Clinic/Center | 1002 S Deanza Blvd, #d, San Jose, CA 95129 | 2017-07-20 |
| 1477908119 | Emily O. Perrotta | Marriage & Family Therapist | 1745 Saratoga Ave #204, San Jose, CA 95129 | 2016-05-02 |
| 1306214325 | Amanda Montgomery | Psychologist | 4300 Stevens Creek Blvd Ste 260, San Jose, CA 95129 | 2015-09-08 |
| 1891065686 | Bobbie Edwards | Behavioral Analyst | 1479 Saratoga Ave, San Jose, CA 95129 | 2012-01-10 |
| 1659640753 | Gail Elizabeth Nabarrete | Social Worker | 780 Saratoga Ave, S310, San Jose, CA 95129 | 2011-12-19 |
| 1891063574 | Elizabeth Duell | Dentist | 4635 Piper Drive, San Jose, CA 95129 | 2011-12-08 |
| 1033486519 | Stephanie Truvonne Hawkins | Family Medicine | 9292 De Anza Blvd, Suite 101, San Jose, CA 95129 | 2011-11-28 |
| 1568607828 | Irina Vaynshteyn | Dentist | 1888 Saratoga Ave Ste 102, San Jose, CA 95129 | 2008-12-15 |
| Find all providers in zip 95129 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174188239 | Synthesis Recovery LLC | Substance Abuse Rehabilitation Facility | 5498 Blackoak Way, San Jose, CA 95129-3110 | 2019-05-04 |
| 1407355548 | Telecare Copration | Substance Abuse Rehabilitation Facility | 298 Bernal Rd Ste B, San Jose, CA 95119-1809 | 2018-02-05 |
| 1073048716 | New Life Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 1101 Park Ave, San Jose, CA 95126-2911 | 2017-05-01 |
| 1437684172 | New Life Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 166 Clayton Ave., San Jose, CA 95110-2229 | 2017-05-01 |
| 1659818441 | Red Road Treatment, Inc | Substance Abuse Rehabilitation Facility | 421 N 13th St, San Jose, CA 95112-1720 | 2017-01-31 |
| 1376097923 | Serenity Gardens Rehab | Substance Abuse Rehabilitation Facility | 5830 Cohasset Way, San Jose, CA 95123-3710 | 2016-08-12 |
| 1841656964 | Pathway Society Inc | Substance Abuse Rehabilitation Facility | 2390 Lucretia Ave, 1106, San Jose, CA 95122-4215 | 2016-01-05 |
| 1760850945 | Wellness Recovery Retreat Center | Substance Abuse Rehabilitation Facility | 10615 Crothers Rd, San Jose, CA 95127-1728 | 2015-09-04 |
| 1124396627 | Pathway Society Inc. | Substance Abuse Rehabilitation Facility | 861 S 10th St, San Jose, CA 95112-2434 | 2011-12-12 |
| 1558639161 | Pathway Society Inc | Substance Abuse Rehabilitation Facility | 850 E Empire St, San Jose, CA 95112-1707 | 2011-12-09 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.