Active NPI
Karen S Snyder, PSY.D.
- Clinical Psychologist
- San Gabriel, CA
National Provider Identifier
1780969352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 18376
- Practice address
- 201 S Mission Dr
San Gabriel, CA 91776-1164 - Phone
- (626) 282-5155
- Fax
- (626) 289-8570
- NPI assigned
- Oct 14, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 18376 | CA | Primary |
Addresses
Primary practice location
201 S Mission Dr
San Gabriel, CA 91776-1164
Mailing address
201 S Mission Dr
San Gabriel, CA 91776-1164
Phone (626) 282-5155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18376 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1780969352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 S MISSION DR",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761164",
"telephone_number": "626-282-5155",
"fax_number": "626-289-8570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S MISSION DR",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761164",
"telephone_number": "626-282-5155",
"fax_number": "626-289-8570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "KAREN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-14",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "18376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.