Active NPI
Carlyn W. Snyder, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1154582583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 254219
- Practice address
- 201 E 87TH St
16J
New York, NY 10128-3203 - Phone
- (212) 348-0175
- Fax
- (212) 426-0784
- NPI assigned
- Jun 18, 2008
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 254219 | NY | Primary |
Addresses
Primary practice location
201 E 87TH St
16J
New York, NY 10128-3203
Mailing address
201 E 87TH St
#16J
New York, NY 10128-3203
Phone (212) 348-0175
Other names 1
- Dr. Carly Snyder
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 18, 2023 through Apr 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254219 | NY | MD | Psychiatry Physician |
Interoperability endpoints
- cas9131@direct.nyp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1154582583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E 87TH ST",
"address_2": "#16J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101283203",
"telephone_number": "212-348-0175",
"fax_number": "212-426-0784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E 87TH ST",
"address_2": "16J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101283203",
"telephone_number": "212-348-0175",
"fax_number": "212-426-0784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "CARLYN",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "254219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARLY",
"last_name": "SNYDER",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.