Active NPI
Bruce E Snyder, MS
- Counseling Psychologist
- Stroudsburg, PA
National Provider Identifier
1902875545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PS004106L
- Practice address
- 117 Broad St
Stroudsburg, PA 18360-1534 - Phone
- (570) 424-6049
- Fax
- (570) 424-0917
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PS004106L | PA | Primary |
Addresses
Primary practice location
117 Broad St
Stroudsburg, PA 18360-1534
Mailing address
5 Tara Dr
East Stroudsburg, PA 18301-8810
Phone (570) 629-4085
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 454295 | Other | PA | BLUE CROSS PROVIDER # |
| 5879430 | Other | PA | AETNA PROV # |
| 77476000 | Other | PA | MAGELLAN PROV # |
| 054140 | Other | PA | FPH PROV # |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS004106L | PA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1902875545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 TARA DR",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183018810",
"telephone_number": "570-629-4085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 BROAD ST",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183601534",
"telephone_number": "570-424-6049",
"fax_number": "570-424-0917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "BRUCE",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PS004106L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER #",
"identifier": "454295",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROV #",
"identifier": "5879430",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN PROV #",
"identifier": "77476000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FPH PROV #",
"identifier": "054140",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.