SYNCHRONY OF VISALIA, INC. (NPI# 1336410141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336410141 |
| Entity Type | Organization |
| Organization Name | SYNCHRONY OF VISALIA, INC. |
| Practice Address |
1041 N Demaree St Visalia CA 93291-4119 |
| Practice Telephone | 5596354252 |
| Practice Fax Number | 5596354281 |
| Mailing Telephone | 5596354252 |
| Mailing Fax Number | 5596354281 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |
| Authorized Official Name | DR. EDWYN ORTIZ-NANCE (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5596354252 |
| Authorized Official Credential | PSY.D., M.O.B. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
PSY 20528 | CA | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
PSY 20528 | CA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY 20528 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
PSY 20528 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
PSY 20528 | CA | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
PSY 20528 | CA | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
PSY 20525 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 20528 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992071344 | Synchrony of Visalia, Inc. | Community/Behavioral Health | 1041 N Demaree St, Visalia, CA 93291-4119 | 2012-03-30 |
| Street Address |
1041 N DEMAREE ST |
| City | VISALIA |
| State | CA |
| Zip Code | 93291-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629238894 | Ian Javier Ortiz-nance | Psychologist | 1041 N Demaree St, Visalia, CA 93291-4119 | 2008-06-11 |
| 1992071344 | Synchrony of Visalia, Inc. | Community/Behavioral Health | 1041 N Demaree St, Visalia, CA 93291-4119 | 2012-03-30 |
| 1255602066 | Synchrony of Visalia | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1041 N Demaree St, Visalia, CA 93291-4119 | 2012-01-25 |
| 1609144500 | Maria-magdalena Ortiz-nance | Psychologist | 1041 N Demaree St, Visalia, CA 93291-4119 | 2011-12-06 |
| 1699050989 | Eric Frank Cepeda | Student in an Organized Health Care Education/Training Program | 1041 N Demaree St, Visalia, CA 93291-4119 | 2011-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
| 1689223067 | Patricia Mari Marquez | Technician | 32481 Road 127, Visalia, CA 93291 | 2019-09-09 |
| 1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
| 1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
| 1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
| 1629598545 | Estherose Molina | Assistant Behavior Analyst | 5445 W. Sweet Drive, Visalia, CA 93291 | 2017-06-21 |
| 1487195988 | Brenda Rodriguez | Case Manager/Care Coordinator | 546 East Tulare Ave, Visalia, CA 93291 | 2017-03-16 |
| 1295181857 | David James Tsuneji Fujihara | Emergency Medicine | 400 W. Mineral King Ave, Visalia, CA 93291 | 2016-05-12 |
| 1326409343 | Bay Area Surgical Specialists, Inc A Medical Corporation | Pain Medicine | 5127 W Noble Ave, Visalia, CA 93291 | 2016-03-18 |
| 1932585700 | Charles Dominick Trentacosti | Occupational Therapy Assistant | 514 N Bridge St, Visalia, CA 93291 | 2015-08-04 |
| Find all providers in zip 93291 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881071975 | Efrat M Mazin | Psychologist | 24511 W. Jayne Street, Visalia, CA 93278-3181 | 2015-04-28 |
| 1063789840 | Stephen Bindler | Psychologist | 3445 W Fairmont Ct, Visalia, CA 93291-4201 | 2011-11-22 |
| 1578795118 | Adam G Fogel | Psychologist | 4125 W Noble Ave, Suite 197, Visalia, CA 93277-1662 | 2009-08-16 |
| 1194925420 | Connie J. Wilson | Psychologist | 720 W Center Ave Ste C, Visalia, CA 93291-6047 | 2007-07-24 |
| 1841408127 | Brock L. Fowler | Psychologist | 1311 N Alder St, Visalia, CA 93292-3184 | 2007-05-18 |
| 1083830780 | Elizabeth R Gates | Psychologist | 631 W Willow Ave, Visalia, CA 93291-6101 | 2007-04-18 |
| 1649316043 | Nonnette Hope Mosley | Psychologist | 113 N Church St, Suite M1, Visalia, CA 93291 | 2007-01-30 |
| 1609958917 | Sean D. Ahlmeyer | Psychologist | 2526 S Jensen St, Visalia, CA 93292-1390 | 2006-10-19 |
| 1154427573 | Jennifer M Newell | Psychologist | 1830 S Central St, Visalia, CA 93277-4418 | 2006-09-15 |
| 1104861152 | Lance Y Zimmerman | Psychologist | 4126 S Demaree St, Visalia, Visalia, CA 93277-9514 | 2006-06-16 |
| Find all providers in VISALIA | ||||
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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.