Active NPI
Marsha W. Snyder, M.D.
- Psychiatry Physician
- Bethlehem, PA
National Provider Identifier
1790883163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD026010E
- Practice address
- 1107 Eaton Ave
Bethlehem, PA 18018-1862 - Phone
- (610) 954-3012
- Fax
- (610) 954-3697
- NPI assigned
- Sep 20, 2006
- Last updated
- Mar 19, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD026010E | PA | Primary |
Addresses
Primary practice location
1107 Eaton Ave
Bethlehem, PA 18018-1862
Mailing address
1107 Eaton Ave
Bethlehem, PA 18018-1862
Phone (610) 954-3012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001223922 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD026010E | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice & Counseling Services Network, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1043204811
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": "1237420800000",
"number": "1790883163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 EATON AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180181862",
"telephone_number": "610-954-3012",
"fax_number": "610-954-3697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 EATON AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180181862",
"telephone_number": "610-954-3012",
"fax_number": "610-954-3697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "MARSHA",
"middle_name": "W.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2009-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD026010E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001223922",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.