Provider Demographics
NPI:1568619344
Name:PSYNERGY PROGRAMS, INC.
Entity type:Organization
Organization Name:PSYNERGY PROGRAMS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:MEDRANO
Authorized Official - Last Name:URIBE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:408-465-8280
Mailing Address - Street 1:2433 MARINER SQUARE LOOP STE 208
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-1060
Mailing Address - Country:US
Mailing Address - Phone:408-465-8280
Mailing Address - Fax:408-465-8295
Practice Address - Street 1:215 HUERTA AVE
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:CA
Practice Address - Zip Code:93927-5762
Practice Address - Country:US
Practice Address - Phone:408-465-8280
Practice Address - Fax:408-465-8295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-22
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS226401041C0700X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty