Marvin Snider, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

149 Issued in MA

Practice address

430 Quinobequin Rd
Waban, MA 02468-2126

Phone

(617) 965-1322

Fax

(617) 965-5469

NPI assigned

Feb 14, 2007

Last updated

Feb 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1326181934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 QUINOBEQUIN RD",
            "city": "WABAN",
            "state": "MA",
            "postal_code": "024682126",
            "telephone_number": "617-965-1322",
            "fax_number": "617-965-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 QUINOBEQUIN RD",
            "city": "WABAN",
            "state": "MA",
            "postal_code": "024682126",
            "telephone_number": "617-965-1322",
            "fax_number": "617-965-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "149",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "MA",
            "license": "149",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MA",
            "license": "149",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "149",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "149",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MA",
            "license": "149",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "149",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "WO1324",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Rose Shapiro, DMD
• Sheldon Roth MD PC
• Carols Shlossman, RD, MS, LDN
• Ariella Shvily, ED.D.
• Faye L. Snider, MSW,LICSW
• Emily Weymouth Sonier, LICSW
• Soo Jeong Youn LLC
• Howard Marvin Stern, M.D., PH.D.
• Maureen Sayres Van Niel, M.D.
• Waban Dental Specialist Group (Waban Dental Group)

• Clinical Psychologist in Waban, MA
• Providers in Waban, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.