Healthcare Provider Details

I. General information

NPI: 1720918592
Provider Name (Legal Business Name): SYNAPSE AND SOMA MENTAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 W FRONTAGE RD STE 3804
NORTHFIELD IL
60093-1202
US

IV. Provider business mailing address

550 W FRONTAGE RD STE 3804
NORTHFIELD IL
60093-1202
US

V. Phone/Fax

Practice location:
  • Phone: 847-220-8886
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL WASSERMAN
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 847-220-8886