Andrea Jill Snyder, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6923 Issued in OH

Practice address

945 Windham CT Ste 2
Boardman, OH 44512-5034

Phone

(330) 953-1354

Fax

(330) 953-1364

NPI assigned

Aug 14, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Carla Renae Arlien PHD

  • Clinical Psychologist
  • Poland, OH
  • NPI 1750605655
  NPD (past)

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538784000000",
    "number": "1982951430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5545",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445140545",
            "telephone_number": "330-953-1354",
            "fax_number": "330-953-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 WINDHAM CT STE 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125034",
            "telephone_number": "330-953-1354",
            "fax_number": "330-953-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "ANDREA",
        "middle_name": "JILL",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2018-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0187362",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Marie Smith, RBT
• Shannon L Smith, LMT
• Tina Marie Smith, P.A.
• Yolanda M Smith
• Amanda Nichole Snyder, DPT
• Carrie Lynn Snyder, M.S., BCBA, COBA
• Phil J Snyder, DDS
• Stephen Snyder
• South Avenue Assisted Living, LLC
• South I Leasing Co., LLC

• Clinical Psychologist in Boardman, OH
• Providers in Boardman, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2018; 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.