Active NPI
Daniel L Snyder, PH.D.
- Addiction (Substance Use Disorder) Psychologist
- Grand Rapids, MI
National Provider Identifier
1033126891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- License
- 1-01610
- Practice address
- 3330 Claystone St SE
Grand Rapids, MI 49546-5765 - Phone
- (616) 949-7460
- Fax
- (616) 949-3018
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301009158 | MI | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 1-01610 | MI | Primary |
Addresses
Primary practice location
3330 Claystone St SE
Grand Rapids, MI 49546-5765
Mailing address
3330 Claystone St SE
Grand Rapids, MI 49546-5765
Phone (616) 949-7460
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11289266 | Other | MI | CAQH |
| 68OD146520 | Other | MI | BLUE CROSS BLUE SHIELD |
| P106527 | Other | MI | BLUE CARE NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301009158 | MI | MD | Psychologist |
| 1-01610 | MI | MD | Addiction (Substance Use Disorder) Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claystone Clinical Associates PLC | Past | Accepting new patients | |
| Claystone Clinical Associates PLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Grand Rapids, MI
- NPI 1336668698
-
- Psychiatry Physician
- Grand Rapids, MI
- NPI 1619927142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1033126891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 CLAYSTONE ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495465765",
"telephone_number": "616-949-7460",
"fax_number": "616-949-3018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 CLAYSTONE ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495465765",
"telephone_number": "616-949-7460",
"fax_number": "616-949-3018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "DANIEL",
"middle_name": "L",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301009158",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "1-01610",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11289266",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "68OD146520",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "P106527",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.