James Snyder Jr., M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

206446 Issued in NY

Practice address

21 Redwood LN Ofc 3
Smithtown, NY 11787-2718

Phone

(516) 626-2182

Fax

(917) 942-8887

NPI assigned

Jul 20, 2010

Last updated

Sep 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of Maine

  dba Dorothea Dix Psychiatric Center

  • Psychiatric Hospital
  • Bangor, ME
  • NPI 1699776146
  Medicare reassignment NPD
• Long Island Psychiatric, PLLC

  • Specialist
  • Greenvale, NY
  • NPI 1164640405
  NPD Authorized official

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1508179565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MARKET ST STE 1A-154",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063666",
            "telephone_number": "516-626-2182",
            "fax_number": "917-942-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 REDWOOD LN OFC 3",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872718",
            "telephone_number": "516-626-2182",
            "fax_number": "917-942-8887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Pleasant Hill Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747678",
            "country_code": "US",
            "telephone_number": "516-626-2182",
            "fax_number": "917-942-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-20",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "206446",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "206446",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smithtown Prescription Center Inc (OnPoint Pharmacy of Smithtown)
• Smithtown Primary Medical Care, P.C.
• Smithtown Psychiatric Services LLP
• Smithtown Psychotherapy, LCSW PLLC
• Smithtown Radiology PC
• Kimberly Duncan Snyder
• Social Skills for Children
• Social Skills for Children, Inc.
• Chloe Sohn
• Francesca Soletti

• Psychiatry Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.