Active NPI
Adam Snider, PSYD
- Clinical Psychologist
- Albany, CA
National Provider Identifier
1063828564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY33384
- Practice address
- 1201 Solano Ave # a&B
Albany, CA 94706-1753 - Phone
- (424) 239-9197
- NPI assigned
- Jul 3, 2014
- Last updated
- Nov 24, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY33384 | CA | Primary |
Addresses
Primary practice location
1201 Solano Ave # a&B
Albany, CA 94706-1753
Mailing address
1201 Solano Ave # a&B
Albany, CA 94706-1753
Phone (424) 239-9197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2023 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY33384 | CA | MD | Clinical Psychologist |
| 33384 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669248000000",
"number": "1063828564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 SOLANO AVE # A&B",
"city": "ALBANY",
"state": "CA",
"postal_code": "947061753",
"telephone_number": "424-239-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 SOLANO AVE # A&B",
"city": "ALBANY",
"state": "CA",
"postal_code": "947061753",
"telephone_number": "424-239-9197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIDER",
"first_name": "ADAM",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-03",
"last_updated": "2022-11-24",
"certification_date": "2022-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY33384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.