Provider Demographics
NPI:1477865244
Name:SYNERGY SYSTEMS CONSULTING, P.A.
Entity Type:Organization
Organization Name:SYNERGY SYSTEMS CONSULTING, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:785-817-9136
Mailing Address - Street 1:337 SW ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1233
Mailing Address - Country:US
Mailing Address - Phone:785-235-8099
Mailing Address - Fax:785-235-7089
Practice Address - Street 1:5315 SW 7TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-2371
Practice Address - Country:US
Practice Address - Phone:785-817-9136
Practice Address - Fax:785-235-7089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-09
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLCP # 169261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)