SYNAPSE COLLABORATIVE LLC
NPI 1134913379
Psychologist - Clinical in Carbondale, IL

Active since April 04, 2025
1235 CEDAR CT, CARBONDALE, IL 62901(618) 467-8805(618) 766-8073 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2025, May 22, 2025, May 14, 2025 and 1 more (4 updates tracked since 2025).

About Synapse Collaborative Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYNAPSE COLLABORATIVE LLC (NPI 1134913379), doing business as Synapse Collaborative, is a healthcare organization registered as a clinical in Carbondale, Illinois and active in the NPI registry since April 2025. The organization lists Amanda Lyn Mckinney, Owner, as its authorized official.

NPPES Registry Identity

NPI1134913379
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSYNAPSE COLLABORATIVE LLC
Location Address1235 CEDAR CTCarbondale, IL 62901-5335
Mailing Address1235 Cedar CtCarbondale, IL 62901-5335 · (618) 467-8805 · Fax (618) 766-8073
Fax(618) 766-8073
Organization SubpartNo
Authorized OfficialAmanda Lyn MckinneyOwner · (618) 467-8805
Enumeration DateApril 4, 2025
Last NPPES UpdateJune 2, 20254 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
NPI 1134913379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · SchoolTaxonomy 103TS0200X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
1235 CEDAR CT, Carbondale, IL 62901

Other Names 1

Doing Business AsSynapse Collaborative

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
1235 CEDAR CT
CARBONDALE, IL 62901
Podiatrist (Foot & Ankle Surgery)
1235 CEDAR CT
CARBONDALE, IL 62901
Psychologist (Clinical)
1235 CEDAR CT
CARBONDALE, IL 62901
Psychologist (School)
1235 CEDAR CT
CARBONDALE, IL 62901
Social Worker (Clinical)
1235 CEDAR CT
CARBONDALE, IL 62901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Synapse Collaborative LLC's NPI number?

The NPI number for Synapse Collaborative LLC is 1134913379. It was assigned to this organization in the NPPES registry on April 4, 2025. The provider is doing business as Synapse Collaborative.

Where is Synapse Collaborative LLC located?

Synapse Collaborative LLC is located at 1235 Cedar Ct, Carbondale, IL 62901. The listed phone number is (618) 467-8805.

What is Synapse Collaborative LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Synapse Collaborative LLC was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.