Individual provider Active NPI

Eric Snitchler, PH.D.

  • Psychologist
  • Norfolk, NE
National Provider Identifier
1376685362
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
629 Issued in NE
Practice address
1306 Andrews Drive
Norfolk, NE 68701
Phone
(402) 851-4026
Fax
(402) 379-2487
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 629 NE Primary

Addresses

Primary practice location

1306 Andrews Drive
Norfolk, NE 68701

Mailing address

P.O. Box 1163
1306 Andrews Drive
Norfolk, NE 68702-1163
Phone (402) 851-4026

Other identifiers 3

IdentifierTypeStateIssuer
47084203426MedicaidNE
80007OtherNEBCBS PROVIDER #
248797OtherNEMIDLANDS CHOICE IND. #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20060105000411 NE Practitioner - Clinical Psychologist 5092738039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apex Therapy Services LLCGroup PAC ID 5991758823, 3 clinicians

Practice addresses (Care Compare)

1306 Andrews Dr
Norfolk, NE 68701-2760
Phone (402) 851-4026

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Therapy Services LLC CurrentSince Nov 1, 2005 Accepting new patients
Apex Therapy Services, LLC PastSince Nov 1, 2005 Accepting new patients

Locations

1306 Andrews Dr
Norfolk, NE 68701
Phone (402) 851-4026

Organizations & group practices 2

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376685362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1163",
            "address_2": "1306 ANDREWS DRIVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687021163",
            "telephone_number": "402-851-4026",
            "fax_number": "402-379-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 ANDREWS DRIVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "68701",
            "telephone_number": "402-851-4026",
            "fax_number": "402-379-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNITCHLER",
        "first_name": "ERIC",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47084203426",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "80007",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE IND. #",
            "identifier": "248797",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.