Active NPI
Griffin Snyder, PPS SCHOOL PSYCH
- School Psychologist
- Walnut Creek, CA
National Provider Identifier
1457177461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 4644
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4644 | CA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theratree Community: Child & Family Counseling Inc. | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Walnut Creek, CA
- NPI 1376240648
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.