PSYNERGY PROGRAMS, INC. (NPI# 1649826504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649826504 |
| Entity Type | Organization |
| Organization Name | PSYNERGY PROGRAMS, INC. |
| Other Organization Name | PSYNERGY FOLSOM SACRAMENTO |
| Practice Address |
9951 Horn Rd Ste B Sacramento CA 95827-1955 |
| Mailing Address |
18525 Sutter Blvd Ste 200 Morgan Hill CA 95037-2899 |
| Practice Telephone | 4084658280 |
| Mailing Telephone | 4084658280 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2020-04-09 |
| Authorized Official Name | ARTURO URIBE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4084658280 |
| Is Organization Subpart | Y |
| Parent Organization Name | PSYNERGY PROGRAMS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Psynergy Folsom Sacramento | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376199232 | Psynergy Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 9847 Folsom Blvd, Sacramento, CA 95827-1328 | 2019-08-15 |
| 1871804021 | Psynergy Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 806 Elm Avenue, Greenfield, CA 93927 | 2010-06-23 |
| 1235440488 | Psynergy Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 18225 Hale Avenue, Morgan Hill, CA 95037 | 2010-06-23 |
| 1568619344 | Psynergy Programs, Inc. | Social Worker | 215 Huerta Ave, Greenfield, CA 93927-5762 | 2008-08-22 |
| 1447806302 | Psynergy Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5240 Jackson St, North Highlands, CA 95660-5003 | 2019-08-15 |
| 1942618301 | Psynergy Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4604 Roosevelt Ave, Sacramento, CA 95820-4520 | 2014-07-30 |
| 1194132910 | Psynergy Programs, Inc. | Social Worker | 4612 Roosevelt Ave, Sacramento, CA 95820-4520 | 2014-07-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PSYNERGY PROGRAMS, INC. | 18225 Hale Ave, Morgan Hill, CA 95037-3547 |
| Street Address |
9951 HORN RD STE B |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95827-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
| 1164078598 | Theresa Marie Reich | Home Health Aide | 9819 Lebra Avenue, Sacramento, CA 95827 | 2019-08-12 |
| 1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
| 1649746900 | Christopher Avery Di Domenico | Counselor | North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 | 2018-10-15 |
| 1285156661 | Keith Ramon Blakely | Counselor | 9738 Lincoln Village, Sacramento, CA 95827 | 2017-07-07 |
| 1376065755 | Julianne Marlene Divirgilio | Counselor | 9738 Lincoln Village Dr., Sacramento, CA 95827 | 2017-07-07 |
| 1275981409 | Carl Phillips Jr. | Counselor | 2819 Pepper Oaks Dr, Sacramento, CA 95827 | 2016-05-27 |
| 1316335581 | Nancy Khun | Counselor | 3990 Branch Center Rd., Sacramento, CA 95827 | 2014-12-22 |
| 1750623385 | Davidshka Lynel Shavers | Counselor | 3340 Viking Dr, Suite 114, Sacramento, CA 95827 | 2013-03-21 |
| 1114263803 | John Kwamena Bankas | Marriage & Family Therapist | 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 | 2012-12-27 |
| Find all providers in zip 95827 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928606 | Nor Cal Trauma Healing Center | Social Worker | 6 Godello Ct, Sacramento, CA 95833-4400 | 2020-09-28 |
| 1023623980 | Heather Woodford | Social Worker | 3101 I St # 203, Sacramento, CA 95816-4421 | 2020-09-08 |
| 1629686670 | Kelvin Baker | Social Worker | 5511 C St, Sacramento, CA 95819-2329 | 2020-07-16 |
| 1033737192 | Kama Brockmann | Social Worker | 2565 14th St, Sacramento, CA 95818-2242 | 2020-07-06 |
| 1972120780 | Lavonne Ricks | Social Worker | 249 Delta Leaf Way, Sacramento, CA 95838-1869 | 2020-06-26 |
| 1366075111 | Michael Swauger | Social Worker | 3240 Arden Way Ste 105, Sacramento, CA 95825-2015 | 2020-02-20 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604527 | Michael Avriette | Social Worker | 2830 27th St, Sacramento, CA 95818-3222 | 2019-11-25 |
| 1669025219 | Elizabeth E. Wetzel | Social Worker | 1720 Capitol Ave Ste 201, Sacramento, CA 95811-5187 | 2019-07-23 |
| 1518526581 | The Anxiety Treatment Center of Sacramento | Social Worker | 10419 Old Placerville Rd Ste 258, Sacramento, CA 95827-2527 | 2019-06-12 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95827 |
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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.