Organization Active NPI

Phillip D. Snyder PHD Clinical Psychologist a Professional Corp

  • Clinical Psychologist
  • Covina, CA
National Provider Identifier
1750655122
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY9930 Issued in CA
Legal business name
PHILLIP D. SNYDER PHD CLINICAL PSYCHOLOGIST A PROFESSIONAL CORP
Practice address
1161 E Covina Blvd
Covina, CA 91724-1523
Phone
(909) 908-4722
NPI assigned
Mar 2, 2012
Last updated
Feb 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Phillip Snyder, PH.D.NPI 1962563304
Title
Psychologist
Phone
(909) 908-4722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY9930 CA Primary

Addresses

Primary practice location

1161 E Covina Blvd
Covina, CA 91724-1523

Mailing address

1928 Frostburg Cir
Claremont, CA 91711-2977
Phone (909) 908-4722

Other practice location 1

415 W Route 66 Ste 202
Glendora, CA 91740-4335
Phone (626) 963-4467

Other practice location 2

2705 S Diamond Bar Blvd Ste 238
Diamond Bar, CA 91765-3554
Phone (626) 963-4467

Other practice location 3

2030 N Garey Ave
Pomona, CA 91767-2722
Phone (909) 593-2585

Other identifiers 1

IdentifierTypeStateIssuer
PSY099300MedicaidCA

Other names 2

  • Phillip D. Snyder Ph.D. Other name
  • Phillip D. Snyder Ph.D. Inc. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120127000762 CA Part B Supplier - Clinic/Group Practice 8325205628 Receives reassigned benefits from 1 practitioner
Practice locations: Covina, CA

National Provider Directory

National Provider Directory

Locations

960 E Green St
Ste 202
Pasadena, CA 91106
Phone (626) 783-7792

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1750655122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 FROSTBURG CIR",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112977",
            "telephone_number": "909-908-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 E COVINA BLVD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241523",
            "telephone_number": "909-908-4722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 W Route 66 Ste 202",
            "address_purpose": "LOCATION",
            "city": "Glendora",
            "state": "CA",
            "postal_code": "917404335",
            "country_code": "US",
            "telephone_number": "626-963-4467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2705 S Diamond Bar Blvd Ste 238",
            "address_purpose": "LOCATION",
            "city": "Diamond Bar",
            "state": "CA",
            "postal_code": "917653554",
            "country_code": "US",
            "telephone_number": "626-963-4467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 N Garey Ave",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917672722",
            "country_code": "US",
            "telephone_number": "909-593-2585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHILLIP D. SNYDER PHD CLINICAL PSYCHOLOGIST A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "909-908-4722",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY9930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY099300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillip D. Snyder Ph.D.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Phillip D. Snyder Ph.D.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Phillip D. Snyder Ph.D. Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.