Individual provider Active NPI

Catherin Mary Snyder, PSY.D.

  • Clinical Psychologist
  • Dana Point, CA
National Provider Identifier
1811297211
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30066 Issued in CA
Practice address
32565B Golden Lantern St # 357
Dana Point, CA 92629-3248
Phone
(602) 405-3654
NPI assigned
Nov 1, 2010
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 30066 CA Primary

Addresses

Primary practice location

32565B Golden Lantern St # 357
Dana Point, CA 92629-3248

Mailing address

32565B Golden Lantern St # 357
Dana Point, CA 92629-3248
Phone (602) 405-3654

Other names 1

  • Dr. Catherin Tarr Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200327000137 CA Practitioner - Clinical Psychologist 8426332693 Practice locations: Aliso Viejo, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11 Mareblu
Suite 100
Aliso Viejo, CA 92656-3053
Phone (602) 405-3654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4054AZMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1811297211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32565B GOLDEN LANTERN ST # 357",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293248",
            "telephone_number": "602-405-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32565B GOLDEN LANTERN ST # 357",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293248",
            "telephone_number": "602-405-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "CATHERIN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERIN",
            "last_name": "TARR",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dana Point, CA

Sources for this page

Verify at the official NPI Registry.