Individual provider Active NPI

Griffin Snyder, PPS SCHOOL PSYCH

  • School Psychologist
  • Walnut Creek, CA
National Provider Identifier
1457177461
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
4644 Issued in CA
Practice address
1415 Oakland Blvd Ste 203
Walnut Creek, CA 94596-4395
Phone
(925) 378-9456
NPI assigned
Nov 25, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 4644 CA Primary

Addresses

Primary practice location

1415 Oakland Blvd Ste 203
Walnut Creek, CA 94596-4395

Mailing address

2215 9TH St Apt 204
Sacramento, CA 95818-1358
Phone (559) 410-1885

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
4644CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Theratree Community: Child & Family Counseling Inc. CurrentSince Dec 1, 2024 Accepting new patients

Locations

1415 Oakland Blvd
Ste 203
Walnut Creek, CA 94596
Phone (925) 378-9456

Organizations & group practices 1

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": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1457177461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 9TH ST APT 204",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958181358",
            "telephone_number": "559-410-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 OAKLAND BLVD STE 203",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964395",
            "telephone_number": "925-378-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "GRIFFIN",
        "credential": "PPS SCHOOL PSYCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "4644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.