Provider Demographics
NPI:1861814188
Name:SYNAPTIC SOLUTIONS LLC
Entity Type:Organization
Organization Name:SYNAPTIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:D
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:937-438-9841
Mailing Address - Street 1:7901 SCHATZ POINTE DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-3856
Mailing Address - Country:US
Mailing Address - Phone:937-438-9841
Mailing Address - Fax:937-438-9851
Practice Address - Street 1:7901 SCHATZ POINTE DR
Practice Address - Street 2:SUITE A
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-3856
Practice Address - Country:US
Practice Address - Phone:937-438-9841
Practice Address - Fax:937-438-9851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0102796Medicaid
OH0102796Medicaid
OHH266180Medicare PIN