Active NPI
David L. Snow, PH.D.
- Clinical Psychologist
- New Haven, CT
National Provider Identifier
1104934918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 001041
- Practice address
- 389 Whitney Ave
New Haven, CT 06511-2301 - Phone
- (203) 789-7645
- Fax
- (203) 562-6355
- NPI assigned
- Aug 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 001041 | CT | Primary |
Addresses
Primary practice location
389 Whitney Ave
New Haven, CT 06511-2301
Mailing address
389 Whitney Ave
New Haven, CT 06511-2301
Phone (203) 789-7645
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207160 | Other | CT | MHN |
| 060001041CT01 | Other | CT | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080627000529 | CT | Practitioner - Clinical Psychologist | 2567534092 | Practice locations: Killingworth, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Colorado School of Medicine, Denver, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
106 Roast Meat Hill Rd
Killingworth, CT 06419-1451
Phone (203) 376-0520
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001041 | CT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104934918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "389 WHITNEY AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065112301",
"telephone_number": "203-789-7645",
"fax_number": "203-562-6355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 WHITNEY AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065112301",
"telephone_number": "203-789-7645",
"fax_number": "203-562-6355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOW",
"first_name": "DAVID",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "001041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "207160",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "060001041CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.