Provider Demographics
NPI:1629526710
Name:SYNERGY BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:SYNERGY BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:K
Authorized Official - Last Name:ZBASNIK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, LBS, NCC
Authorized Official - Phone:347-469-1538
Mailing Address - Street 1:3233 NIAGARA SQ
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-4276
Mailing Address - Country:US
Mailing Address - Phone:216-469-1538
Mailing Address - Fax:
Practice Address - Street 1:3233 NIAGARA SQ
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-4276
Practice Address - Country:US
Practice Address - Phone:216-469-1538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-17
Last Update Date:2019-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health