Individual provider Active NPI

Qianna Snooks, PSYD

  • Clinical Psychologist
  • Bala Cynwyd, PA
National Provider Identifier
1417576182
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS018985 Issued in PA
Practice address
1 Bala Ave Ste 110
Bala Cynwyd, PA 19004-3207
Phone
(484) 401-9646
Fax
(484) 401-9641
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 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 PS018985 PA Primary

Addresses

Primary practice location

1 Bala Ave Ste 110
Bala Cynwyd, PA 19004-3207

Mailing address

1 Bala Ave Ste 110
Bala Cynwyd, PA 19004-3207
Phone (484) 401-9646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS018985PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Q Psych Assessment Clinical Current Accepting new patients
Q Psychological & Consultation Services PLLC Clinical Current Accepting new patients
Equilibria Psychological and Consultation Services, LLC Clinical PastSince Apr 1, 2020 Accepting new patients
Equilibria Mental Health Services PastSince Oct 31, 2021 Accepting new patients

Locations

333 E City Ave
Ste 300
Bala Cynwyd, PA 19004
Phone (610) 660-7739

1 Bala Ave
Ste 110
Bala Cynwyd, PA 19004
Phone (215) 432-4339

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1417576182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BALA AVE STE 110",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043207",
            "telephone_number": "484-401-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALA AVE STE 110",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043207",
            "telephone_number": "484-401-9646",
            "fax_number": "484-401-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOOKS",
        "first_name": "QIANNA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.