Active NPI
Elizabeth Marie Snipes, PSY.D.
- Psychologist
- New York, NY
National Provider Identifier
1992952790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 017897-1
- Practice address
- 5030 Broadway
Suite 616
New York, NY 10034-1655 - Phone
- (347) 443-1610
- NPI assigned
- Aug 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 017897-1 | NY | Primary |
Addresses
Primary practice location
5030 Broadway
Suite 616
New York, NY 10034-1655
Mailing address
35 Thayer St
4D
New York, NY 10040-1232
Phone (212) 632-4753
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 |
|---|---|---|---|
| 017897-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1992952790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 THAYER ST",
"address_2": "4D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100401232",
"telephone_number": "212-632-4753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5030 BROADWAY",
"address_2": "SUITE 616",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100341655",
"telephone_number": "347-443-1610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIPES",
"first_name": "ELIZABETH",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-22",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "017897-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.