Healthcare Provider Details

I. General information

NPI: 1073457719
Provider Name (Legal Business Name): SYNESTRA INTEGRATED BEHAVIORAL HEALTH SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 E VANDERBILT WAY BLDG 8
SAN BERNARDINO CA
92408-3552
US

IV. Provider business mailing address

406 E VANDERBILT WAY BLDG 8
SAN BERNARDINO CA
92408-3552
US

V. Phone/Fax

Practice location:
  • Phone: 951-801-0549
  • Fax: 310-870-9266
Mailing address:
  • Phone: 951-801-0549
  • Fax: 310-870-9266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NNEKA M NWANI
Title or Position: EXECUTIVE CEO/FOUNDER
Credential: APRN PMHNP-BC
Phone: 951-801-0549