Healthcare Provider Details

I. General information

NPI: 1629526710
Provider Name (Legal Business Name): SYNERGY BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2016
Last Update Date: 04/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3233 NIAGARA SQ
PITTSBURGH PA
15213-4276
US

IV. Provider business mailing address

3233 NIAGARA SQ
PITTSBURGH PA
15213-4276
US

V. Phone/Fax

Practice location:
  • Phone: 216-469-1538
  • Fax:
Mailing address:
  • Phone: 216-469-1538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PATRICK K ZBASNIK
Title or Position: CEO
Credential: MS, LPC, LBS, NCC
Phone: 347-469-1538