Individual provider Active NPI

Karen Sue Snyder Denoia, PHD

  • Clinical Psychologist
  • Alpharetta, GA
National Provider Identifier
1821021882
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY002613 Issued in GA
Practice address
2050 Marconi Dr
Suite 300
Alpharetta, GA 30005-5201
Phone
(770) 777-2831
Fax
(770) 777-2832
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY002613 GA
Clinical Psychologist 103TC0700X PSY002613 GA Primary

Addresses

Primary practice location

2050 Marconi Dr
Suite 300
Alpharetta, GA 30005-5201

Mailing address

3930 Three Chimneys LN
Cumming, GA 30041-6998
Phone (770) 777-8231

Other identifiers 1

IdentifierTypeStateIssuer
000980581AMedicaidGA

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 Philosophy

State licenses

LicenseStateTypeSpecialty
PSY002613GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Testing & Counseling Inc Clinical Neuropsychologist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1821021882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 THREE CHIMNEYS LN",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416998",
            "telephone_number": "770-777-8231",
            "fax_number": "770-777-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 MARCONI DR",
            "address_2": "SUITE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055201",
            "telephone_number": "770-777-2831",
            "fax_number": "770-777-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENOIA",
        "first_name": "KAREN",
        "middle_name": "SUE SNYDER",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "PSY002613",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000980581A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.