Active NPI
Barry Snow, PHD
- Cognitive & Behavioral Psychologist
- New York, NY
National Provider Identifier
1669541884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 007855
- Practice address
- 301 E 17TH St
Room # 1029
New York, NY 10003-3804 - Phone
- (212) 598-6606
- Fax
- (212) 598-6468
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 007855 | NY | Primary |
Addresses
Primary practice location
301 E 17TH St
Room # 1029
New York, NY 10003-3804
Mailing address
301 E 17TH St
Room # 1029
New York, NY 10003-3804
Phone (212) 598-6606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00907144 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110331000869 | NY | Practitioner - Clinical Psychologist | 2365637410 | Practice locations: New York, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669541884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E 17TH ST",
"address_2": "ROOM # 1029",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033804",
"telephone_number": "212-598-6606",
"fax_number": "212-598-6468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E 17TH ST",
"address_2": "ROOM # 1029",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033804",
"telephone_number": "212-598-6606",
"fax_number": "212-598-6468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOW",
"first_name": "BARRY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "007855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00907144",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.