Individual provider Active NPI

Jodi D Snyder, PSYD

  • Clinical Neuropsychologist
  • Grass Valley, CA
National Provider Identifier
1427013259
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY17470 Issued in CA
Practice address
900 E Main St Ste 106
Grass Valley, CA 95945-5853
Phone
(530) 446-6164
Fax
(530) 446-6377
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY17470 CA Primary
Clinical Psychologist 103TC0700X PSY17470 CA

Addresses

Primary practice location

900 E Main St Ste 106
Grass Valley, CA 95945-5853

Mailing address

900 E Main St
Ste 106
Grass Valley, CA 95945-5853
Phone (844) 660-0355

Other practice location 1

208 Providence Mine Rd Ste 122
Nevada City, CA 95959-2955
Phone (530) 432-6603

Other practice location 2

204 W Main St Ste 115
Grass Valley, CA 95945
Phone (530) 432-6603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040714000764 CA Practitioner - Clinical Psychologist 1557340635 Practice locations: Grass Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1142 S Diamond Bar Blvd
Suite 383
Diamond Bar, CA 91765-2203

900 E Main St
Suite 106
Grass Valley, CA 95945-5853
Phone (530) 446-6164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17470CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Nevada Neuropsychology Inc. Clinical Neuropsychologist CurrentSince Jan 3, 2022 Accepting new patients
Pacific Coast Psychology Group, Inc. Clinical CurrentSince Sep 9, 2024 Accepting new patients
Sierra Nevada Neuropsychology Clinical CurrentSince Jun 8, 2018 Accepting new patients
Sierra Nevada Memorial-Miners Hospital PastSince Dec 1, 2022 Accepting new patients
Alameda Neuropsych, Inc. Clinical Neuropsychologist Past Accepting new patients

Locations

1611 Height St
Bakersfield, CA 93305
Phone (661) 748-1300

4900 California Ave
Fl 2
Bakersfield, CA 93309
Phone (510) 722-5630

204 W Main St
Ste 115
Grass Valley, CA 95945
Phone (530) 432-6603

900 E Main St
Ste 106
Grass Valley, CA 95945
Phone (530) 446-6164

177 Bovet Rd
Fl 6
San Mateo, CA 94402

31194 La Baya Dr
Ste 100
Westlake Village, CA 91362
Phone (805) 242-2429

31356 Via Colinas
Ste 114
Westlake Village, CA 91362
Phone (805) 622-7778

1014 S Westlake Blvd
Ste 14243
Westlake Vlg, CA 91361

Interoperability endpoints

  • Direct secure messaging: jodi.snyder.1@22193.direct.athenahealth.com

Organizations & group practices 5

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1427013259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E MAIN ST",
            "address_2": "STE 106",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455853",
            "telephone_number": "844-660-0355",
            "fax_number": "530-446-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E MAIN ST STE 106",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455853",
            "telephone_number": "530-446-6164",
            "fax_number": "530-446-6377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Providence Mine Rd Ste 122",
            "address_purpose": "LOCATION",
            "city": "Nevada City",
            "state": "CA",
            "postal_code": "959592955",
            "country_code": "US",
            "telephone_number": "530-432-6603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 W Main St Ste 115",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "95945",
            "country_code": "US",
            "telephone_number": "530-432-6603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JODI",
        "middle_name": "D",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY17470",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.