Active NPI
Jan Melinda Snyder, PHD
- Clinical Psychologist
- Gainesville, FL
National Provider Identifier
1649378159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY4507
- Practice address
- 2531 C NW 41St Street
Gainesville, FL 32606 - Phone
- (352) 372-2206
- Fax
- (352) 377-6662
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY4507 | FL | Primary |
| Clinical Psychologist | 103TC0700X | 3642 | MA |
Addresses
Primary practice location
2531 C NW 41St Street
Gainesville, FL 32606
Mailing address
2531 C NW 41St Street
Gainesville, FL 32606
Phone (352) 372-2206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73907 | Other | FL | BLUE CROSS BLUE SHIELD |
Other names 1
- Jan Snyder Perea
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2021 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3642 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649378159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2531 C NW 41ST STREET",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32606",
"telephone_number": "352-372-2206",
"fax_number": "352-377-6662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2531 C NW 41ST STREET",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32606",
"telephone_number": "352-372-2206",
"fax_number": "352-377-6662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "JAN",
"middle_name": "MELINDA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY4507",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "3642",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "73907",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAN",
"last_name": "PEREA",
"middle_name": "SNYDER",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.