Individual provider Active NPI

Marjorie Blue Snyder, MD

  • Psychiatry Physician
  • Bangor, ME
National Provider Identifier
1487694204
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
014233 Issued in ME
Practice address
277 State St Ste 2a
Bangor, ME 04401-5440
Phone
(207) 944-9323
Fax
(207) 835-4983
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 014233 ME Primary

Addresses

Primary practice location

277 State St Ste 2a
Bangor, ME 04401-5440

Mailing address

277 State St Ste 2a
Bangor, ME 04401-5440
Phone (207) 944-9323

Other practice location 1

69 High St
Dover Foxcroft, ME 04426-1270
Phone (207) 564-4110

Other practice location 2

277 State St Ste 2A
Bangor, ME 04401-5440
Phone (207) 944-9323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506000205 ME Practitioner - Psychiatry 2769470798 Practice locations: Bangor, ME

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
014233MEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marjorie Blue Snyder Current Accepting new patients
Neuropsychology Service PA Past Accepting new patients
State of Maine Past Accepting new patients
State of Maine Past Accepting new patients

Locations

277 State St
Ste 2A
Bangor, ME 04401
Phone (207) 942-1954

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1487694204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 STATE ST STE 2A",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015440",
            "telephone_number": "207-944-9323",
            "fax_number": "207-835-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 STATE ST STE 2A",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015440",
            "telephone_number": "207-944-9323",
            "fax_number": "207-835-4983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69 High St",
            "address_purpose": "LOCATION",
            "city": "Dover Foxcroft",
            "state": "ME",
            "postal_code": "044261270",
            "country_code": "US",
            "telephone_number": "207-564-4110",
            "fax_number": "207-564-4478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "277 State St Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044015440",
            "country_code": "US",
            "telephone_number": "207-944-9323",
            "fax_number": "207-835-4983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "MARJORIE",
        "middle_name": "BLUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "014233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.