Organization Active NPI

Rose Snyder Edm PSYD, LLC

  • Psychologist
  • West Linn, OR
National Provider Identifier
1053230482
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ROSE SNYDER EDM PSYD, LLC
Practice address
1880 Willamette Falls Dr Ste 220
West Linn, OR 97068-4655
Phone
(510) 847-0987
NPI assigned
Jul 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rose Snyder, EDM, PSYDNPI 1083862775
Title
Clinical Director
Phone
(510) 847-0987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1880 Willamette Falls Dr Ste 220
West Linn, OR 97068-4655

Mailing address

1880 Willamette Falls Dr Ste 220
West Linn, OR 97068-4655
Phone (510) 847-0987

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1053230482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 WILLAMETTE FALLS DR STE 220",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684655",
            "telephone_number": "510-847-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 WILLAMETTE FALLS DR STE 220",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684655",
            "telephone_number": "510-847-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE SNYDER EDM PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "510-847-0987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDM, PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.