NPIMap

Organization Active NPI

Psychological Health Services, LLC

Doing business as Jessica P. Snyder

  • Clinical Psychologist
  • Holton, KS
National Provider Identifier
1902304116
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1431 Issued in KS
Legal business name
PSYCHOLOGICAL HEALTH SERVICES, LLC
Doing business as
Jessica P. Snyder
Practice address
626 Nebraska Ave
Holton, KS 66436-1462
Phone
(785) 362-7000
Fax
(785) 362-7100
NPI assigned
Jan 23, 2018
Last updated
May 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Jessica Snyder, LCPNPI 1255591210
Title
Owner
Phone
(785) 362-7000

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: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 1431 KS Primary

Addresses

Primary practice location

626 Nebraska Ave
Holton, KS 66436-1462

Mailing address

626 Nebraska Ave
Holton, KS 66436-1462
Phone (785) 362-7000

Other names 1

  • Jessica P. Snyder Doing business as

National Provider Directory

National Provider Directory

Locations

626 Nebraska Ave
Holton, KS 66436
Phone (785) 362-7000

Practitioners & affiliated clinicians

Practitioners 3

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": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1902304116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 NEBRASKA AVE",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664361462",
            "telephone_number": "785-362-7000",
            "fax_number": "785-362-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 NEBRASKA AVE",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664361462",
            "telephone_number": "785-362-7000",
            "fax_number": "785-362-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-362-7000",
        "authorized_official_credential": "LCP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "1431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jessica P. Snyder",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.