Individual provider Active NPI

Tegan A. L. Snigier, PSY.D.

  • Clinical Psychologist
  • Fredericksburg, VA
National Provider Identifier
1093184574
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810006792 Issued in VA
Practice address
902 Marye St
Fredericksburg, VA 22401-5629
Phone
(540) 809-4275
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 10990 MA
Clinical Psychologist 103TC0700X 0810006792 VA Primary

Addresses

Primary practice location

902 Marye St
Fredericksburg, VA 22401-5629

Mailing address

902 Marye St
Fredericksburg, VA 22401-5629
Phone (540) 809-4275

Other names 1

  • Dr. Tegan A. L. Neustatter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MA, NY, IA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240605002733 DC Practitioner - Clinical Psychologist 9537575196 Reassigns benefits to 1 organization
I20240606001030 MA Practitioner - Clinical Psychologist 9537575196 Reassigns benefits to 1 organization
I20241218002556 NY Practitioner - Clinical Psychologist 9537575196 Reassigns benefits to 1 organization
I20250203001926 IA Practitioner - Clinical Psychologist 9537575196 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810006792VAMDClinical Psychologist
10990MAMDPhysical Therapist
026846NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince Apr 30, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1093184574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 MARYE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015629",
            "telephone_number": "540-809-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 MARYE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015629",
            "telephone_number": "540-809-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIGIER",
        "first_name": "TEGAN",
        "middle_name": "A. L.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10990",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810006792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEGAN",
            "last_name": "NEUSTATTER",
            "middle_name": "A. L.",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.