ROBERT M SNYDER JR. (NPI# 1598892366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598892366 |
| Entity Type | Individual |
| Full Name | ROBERT M SNYDER JR. |
| Credential | PH.D. |
| Practice Address |
4136 Florida Ave Clarklake MI 49234-9731 |
| Practice Telephone | 1517529444 |
| Practice Fax Number | 1517529444 |
| Mailing Telephone | 1517529444 |
| Mailing Fax Number | 1517529444 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 63010055712 | MI | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 6301005712 | MI | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
6301005712 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 680C84520 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295189975 | Robert Snyder | Specialist/Technologist | 2713 Columbia Ave, Camp Hill, PA 17011-5312 | 2016-04-19 |
| 1871903740 | Robert Allen Snyder | Hearing Instrument Specialist | American Hearing Centers 361 Route 31, Bldg. C, Unit 804 Countryside Plaza, Flemington, NJ 08822 | 2014-05-01 |
| 1932334760 | Robert R. Snyder | Marriage & Family Therapist | 9730 Cabanas Ave, Tujunga, CA 91042-2925 | 2009-05-22 |
| 1861525461 | Robert Louis Snyder | Dentist | 3071 Voyager Dr Ste B, Green Bay, WI 54311-8352 | 2007-03-13 |
| 1447369590 | Robert Craven Snyder Jr. | Family Medicine | 2508 Pelham Pkwy, Pelham, AL 35124-1321 | 2006-08-30 |
| 1528093994 | Robert M Snyder | Podiatrist | 2666 Welsh Rd, Philadelphia, PA 19152-1548 | 2006-07-12 |
| 1275597981 | Robert Wickert Snyder | Ophthalmology | 4711 Camp Lowell, Tucson, AZ 85712 | 2006-04-12 |
| 1588652606 | Robert E. Snyder | Family Medicine | 4244 Rose Arbor Way, Vallejo, CA 94591-8572 | 2005-10-12 |
| 1003270851 | Robert Paul Snyder | Counselor | 495 Apple St Ste 100, Reno, NV 89502-3527 | 2016-04-07 |
| 1700242328 | Robert Snyder | Counselor | 340 Nw 5th St, Box 1710, Redmond, OR 97756-1869 | 2016-01-12 |
| Street Address |
4136 FLORIDA AVE |
| City | CLARKLAKE |
| State | MI |
| Zip Code | 49234-9731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245553122 | Marcia Ann Garrison | Respite Care | 2339 Jefferson Rd., Clarklake, MI 49234 | 2010-03-08 |
| 1144745944 | Amanda Belcher | Home Health | 307 Goldsmith Dr, Clarklake, MI 49234-5705 | 2017-08-14 |
| 1588975320 | Jacquelynn S Johnson | Social Worker | 10635 Ocean Beach Rd, Clarklake, MI 49234-9010 | 2010-06-26 |
| 1952725137 | Donna Richardson | Social Worker | 4431 N Lake Rd, Clarklake, MI 49234-9694 | 2014-02-10 |
| 1114924222 | Logan E Hyatt | Physician Assistant | 8691 Clarklake Rd, #600, Clarklake, MI 49234-9709 | 2005-07-05 |
| 1164819561 | Judy Bivins | Licensed Practical Nurse | 10515 Hayes Rd, Clarklake, MI 49234-9748 | 2015-04-23 |
| 1457780157 | Melissa Howington | Dental Hygienist | 8312 Clarklake Rd, Clarklake, MI 49234-9765 | 2013-11-04 |
| 1356836233 | Duane Lee Wilcox | Nurse Practitioner | 8708 N Shore Dr, Clarklake, MI 49234-9794 | 2018-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356836233 | Duane Lee Wilcox | Nurse Practitioner | 8708 N Shore Dr, Clarklake, MI 49234-9794 | 2018-06-24 |
| 1144745944 | Amanda Belcher | Home Health | 307 Goldsmith Dr, Clarklake, MI 49234-5705 | 2017-08-14 |
| 1164819561 | Judy Bivins | Licensed Practical Nurse | 10515 Hayes Rd, Clarklake, MI 49234-9748 | 2015-04-23 |
| 1952725137 | Donna Richardson | Social Worker | 4431 N Lake Rd, Clarklake, MI 49234-9694 | 2014-02-10 |
| 1457780157 | Melissa Howington | Dental Hygienist | 8312 Clarklake Rd, Clarklake, MI 49234-9765 | 2013-11-04 |
| 1588975320 | Jacquelynn S Johnson | Social Worker | 10635 Ocean Beach Rd, Clarklake, MI 49234-9010 | 2010-06-26 |
| 1245553122 | Marcia Ann Garrison | Respite Care | 2339 Jefferson Rd., Clarklake, MI 49234 | 2010-03-08 |
| 1114924222 | Logan E Hyatt | Physician Assistant | 8691 Clarklake Rd, #600, Clarklake, MI 49234-9709 | 2005-07-05 |
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1255944096 | Eric S. Samson | Psychologist | 2045 E West Maple Rd Ste D405, Commerce Township, MI 48390-3801 | 2020-08-30 |
| 1891308904 | Susan Gottlieb Phd LLC | Psychologist | 23800 Orchard Lake Rd Ste 104, Farmington Hills, MI 48336-2561 | 2020-08-28 |
| 1538784012 | Bethany S Gourley | Psychologist | 19855 Outer Dr Ste 300, Dearborn, MI 48124-2022 | 2020-06-10 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.