Organization
SYNAPTIC PSYCHIATRY LLC
Active
Organization
SYNAPTIC PSYCHIATRY LLC
Active
Other names
Revitalize and Optimize Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP CASEY DUBRAVCIC PMHNP (OWNER/OPERATOR/CEO)
(928) 248-8082
Entity
Organization
Contact information
Practice address
906 W UNIVERSITY AVE STE 150, FLAGSTAFF, AZ 86001-2603
(928) 248-8082
(855) 930-4003
Mailing address
906 W UNIVERSITY AVE STE 150, FLAGSTAFF, AZ 86001-2603
(928) 248-8082
(855) 930-4003
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up