Snyder Psychiatric Services, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP09583 Issued in LA

Legal business name

SNYDER PSYCHIATRIC SERVICES, LLC

Practice address

3423 NW Evangeline Trwy
Carencro, LA 70520-6241

Phone

(337) 205-5855

Fax

(337) 245-0445

NPI assigned

Jan 9, 2018

Organization subpart

No

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

Authorized official

Name

Addie M Snyder, PMHNPNPI 1831616820

Title

Owner

Phone

(985) 226-0537

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Addie Snyder, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Carencro, LA
  • NPI 1831616820
  Medicare reassignment NPD Authorized official
• Katie Lynn Simon, LCSW

  • Clinical Social Worker
  • Broussard, LA
  • NPI 1548929698
  NPD (past)
• Keirra Johnson White, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Carencro, LA
  • NPI 1851065817
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1477060515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82234",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705982234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 NW EVANGELINE TRWY",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705206241",
            "telephone_number": "337-205-5855",
            "fax_number": "337-245-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNYDER PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "ADDIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-226-0537",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP09583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katera Marie Simmons, CNA, PHLEBOTOMY,M.A
• Latoya N Simon, PCT
• Angelle Sion
• Hailey Sistrunk, BIRTH DOULA CD DONA
• Brandy Michelle Skidmore, LCSW
• Addie Snyder, PMHNP
• Southern Neuro Specialty
• Phillip Lyle Stelly, DDS
• Tia Strawder Kelly
• Dai'Kerria Danielle Strong

• Psychiatric/Mental Health Nurse Practitioner in Carencro, LA
• Providers in Carencro, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.