William Charles Snoberger, M.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

603 Issued in WV

Practice address

130 Center St
Keyser, WV 26726-3520

Phone

(304) 788-1113

Fax

(304) 788-2777

NPI assigned

Jul 13, 2005

Last updated

Apr 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain State Psychological Services, PLLCGroup PAC ID 8224092481, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Mountain State Psychological Services, PLLC

  • Intellectual & Developmental Disabilities Psychologist
  • Keyser, WV
  • NPI 1326117409
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1700884699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CENTER ST",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267263520",
            "telephone_number": "304-788-1113",
            "fax_number": "304-788-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CENTER ST",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267263520",
            "telephone_number": "304-788-1113",
            "fax_number": "304-788-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOBERGER",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "603",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WV",
            "license": "603",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "WV",
            "license": "603",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9202024000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sahara Smith
• Samantha Alger Smith
• Tabitha Smith
• Tyler Smith
• Wanda Mae Smoot
• Ashley Snyder
• Michelle Dawn Snyder
• Shawn Snyder
• Thomas Snyder
• Shannon Sommers

• Psychologist in Keyser, WV
• Providers in Keyser, WV by specialty
• Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.