Individual provider Active NPI

Rose Snyder, ED.M., PSY.D.

  • Psychologist
  • West Linn, OR
National Provider Identifier
1083862775
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY3436 Issued in OR
Practice address
1880 Willamette Falls Dr Ste 220
West Linn, OR 97068-4655
Phone
(510) 847-0987
NPI assigned
Sep 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY3436 OR 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

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY24253CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Snyder Edm PSYD, LLC Psychologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1083862775",
    "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": {
        "last_name": "SNYDER",
        "first_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "ED.M., PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "PSY3436",
            "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 2, 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.