Individual provider Active NPI

Andrew David Snyder, M.D.

  • Psychiatry Physician
  • Williamsburg, VA
National Provider Identifier
1265786339
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101261904 Issued in VA
Practice address
4601 Ironbound Road
Williamsburg, VA 23188
Phone
(757) 253-5161
NPI assigned
Oct 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101261904 VA Primary

Addresses

Primary practice location

4601 Ironbound Road
Williamsburg, VA 23188

Mailing address

205 N 2ND Street
#12021
Richmond, VA 23241
Phone (202) 643-7209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, PA, CA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20201022002523 VA Practitioner - Psychiatry 4486968302 Reassigns benefits to 1 organization
I20210129000545 DC Practitioner - Psychiatry 4486968302 Reassigns benefits to 1 organization
I20210225000135 PA Practitioner - Psychiatry 4486968302 Reassigns benefits to 1 organization
I20230705001426 CA Practitioner - Psychiatry 4486968302 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101261904VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew D Snyder MD LLC CurrentSince Dec 22, 2019 Accepting new patients
Thrive Counseling LLC CurrentSince Sep 24, 2020 Accepting new patients
Praxia Psychiatry PLLC Psychiatry PastSince Dec 22, 2019 Accepting new patients

Locations

1320 Hausman Rd
Ste 100
Allentown, PA 18104
Phone (484) 246-8451

2223 Linden St
Ste 101
Bethlehem, PA 18017
Phone (484) 241-2848

5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279

6076 Franconia Rd
Ste D
Alexandria, VA 22310
Phone (703) 828-9054

3804 Poplar Hill Rd
Unit D
Chesapeake, VA 23321
Phone (757) 414-6427

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

1901 E Franklin St
Ste 108
Richmond, VA 23223
Phone (804) 331-2570

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

205 N 2nd St
Unit 12021
Richmond, VA 23241

509 Old Great Neck Rd
Ste 203
Virginia Beach, VA 23454
Phone (479) 381-7603

Organizations & group practices 4

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": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1265786339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N 2ND STREET",
            "address_2": "#12021",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23241",
            "telephone_number": "202-643-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 IRONBOUND ROAD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23188",
            "telephone_number": "757-253-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-29",
        "last_updated": "2023-11-15",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101261904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.