Active NPI
Michele Snyder
- Speech-Language Pathologist
- Penn Yan, NY
National Provider Identifier
1144681685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 019023
- Practice address
- 240 North Ave
Penn Yan, NY 14527-1052 - Phone
- (315) 694-7676
- NPI assigned
- Mar 11, 2016
- Last updated
- Jun 26, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 019023 | NY | Primary |
Addresses
Primary practice location
240 North Ave
Penn Yan, NY 14527-1052
Mailing address
2890 Lake to Lake Rd
Stanley, NY 14561-9715
Phone (315) 694-7676
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019023 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1144681685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2890 LAKE TO LAKE RD",
"city": "STANLEY",
"state": "NY",
"postal_code": "145619715",
"telephone_number": "315-694-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 NORTH AVE",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145271052",
"telephone_number": "315-694-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "MICHELE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-11",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "019023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penn Yan, NY
- Andrew Paul Smith, O.D.
- Jennifer Ashley Smith, PHARMD
- Kevin Smith, OD
- Debra Moeller Snyder, RN
- Lauren R Snyder, RN
- Soldiers & Sailors Memorial Hospital (Soldiers & Sailors Memorial Hospital Hospitalist)
- Soldiers & Sailors Memorial Hospital (Soldiers & Sailors Hospital Swing)
- Soldiers & Sailors Memorial Hospital
- Soldiers & Sailors Memorial Hospital (Soldiers & Sailors Hospital Psych)
- Soldiers & Sailors Memorial Hospital (Homestead at Soldiers & Sailors Memorial Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.