Individual provider Active NPI

Daniel L Snyder, PSYD., LP

  • Clinical Psychologist
  • Shakopee, MN
National Provider Identifier
1366477457
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP3478 Issued in MN
Practice address
500 Marschall Rd Ste 100
Shakopee, MN 55379-2689
Phone
(952) 448-6557
Fax
(952) 448-6047
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP3478 MN Primary

Addresses

Primary practice location

500 Marschall Rd Ste 100
Shakopee, MN 55379-2689

Mailing address

500 Marschall Rd Ste 300
Shakopee, MN 55379-2690
Phone (952) 856-3932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041116000762 MN Practitioner - Clinical Psychologist 8820052160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northstar RegionalGroup PAC ID 8921346669, 7 clinicians

Practice addresses (Care Compare)

1045 Stoughton Ave
Chaska, MN 55318-2149
Phone 95285639325117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP3478MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Regional CurrentSince May 19, 2024 Accepting new patients
Northstar Regional CurrentSince Feb 12, 2019 Accepting new patients
Family Counseling Center Inc PastSince Oct 1, 2005 Accepting new patients
The Center for Christian Psychological Services Past Accepting new patients

Locations

7945 Stone Creek Dr
Ste 140
Chanhassen, MN 55317
Phone (952) 856-3932

1045 Stoughton Ave
Chaska, MN 55318
Phone (952) 448-6557

500 Marschall Rd
Ste 300
Shakopee, MN 55379
Phone (952) 448-6557

500 Marschall Rd
Ste 100
Shakopee, MN 55379
Phone (952) 448-6557

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1366477457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARSCHALL RD STE 300",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553792690",
            "telephone_number": "952-856-3932",
            "fax_number": "952-974-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARSCHALL RD STE 100",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553792689",
            "telephone_number": "952-448-6557",
            "fax_number": "952-448-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "DANIEL",
        "middle_name": "L",
        "credential": "PSYD., LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

Verify at the official NPI Registry.