Active NPI
Suzanne Marie Snyder
- Clinical Psychologist
- McLean, VA
National Provider Identifier
1952802399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.010582
- Practice address
- 1651 Old Meadow Rd Ste 600
MC Lean, VA 22102-4389 - Phone
- (703) 506-0123
- NPI assigned
- Feb 21, 2018
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.010582 | IL | Primary |
Addresses
Primary practice location
1651 Old Meadow Rd Ste 600
MC Lean, VA 22102-4389
Mailing address
1234 Massachusetts Ave NW Apt 520
Washington, DC 20005-4535
Phone (843) 816-1563
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.010582 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1952802399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 MASSACHUSETTS AVE NW APT 520",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200054535",
"telephone_number": "843-816-1563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 OLD MEADOW RD STE 600",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221024389",
"telephone_number": "703-506-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-21",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.010582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.