SERENITY NEUROPSYCHOLOGY, PLLC (NPI# 1285815399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285815399 |
Entity Type | Organization |
Organization Name | SERENITY NEUROPSYCHOLOGY, PLLC |
Other Organization Name | SERENITY NEUROPSYCHOLOGY & COUNSELING |
Practice Address |
2498 N Stokesberry Pl Ste 150 Meridian ID 83646-5150 |
Practice Telephone | 2089575450 |
Practice Fax Number | 2089575292 |
Mailing Telephone | 2089575450 |
Mailing Fax Number | 2089575292 |
Enumeration Date | 2007-11-16 |
Last Update Date | 2019-01-09 |
Authorized Official Name | DR. MELODY LYNN SNIDER (LICENSED PSYCHOLOGIST/OWNER) |
Authorized Official Telephone | 2089575450 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY-202392 | ID | Behavioral Health & Social Service Providers |
Y | 103G00000X | Clinical Neuropsychologist | PSY-202392 | ID | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | REGENCE BLUE SHIELD | 000010162954 | 01 |
ID | MEDICARE GROUP PIN | 16200124 | 01 |
ID | INDIVIDUAL NPI | 1982734984 | 01 |
ID | BLUE CROSS | N6316 | 01 |
Other Name | Type Code |
---|---|
Dr M. Snider PLLC | Former Legal Business Name - Organization |
SERENITY NEUROPSYCHOLOGY & COUNSELING | Doing Business As Name - Organization |
Street Address |
2498 N STOKESBERRY PL STE 150 |
City | MERIDIAN |
State | ID |
Zip Code | 83646-5150 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
1356977466 | Tanabell Health Services Inc | Assisted Living Facility | 2584 E Magic View Dr, Meridian, ID 83646 | 2020-03-20 |
1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
1306314323 | Cr Smiles - Meridian Dental Care LLC | Clinic/Center | 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 | 2018-11-07 |
1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
1275015950 | Mcmillan Family Dental Pllc | Clinic/Center | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
1609327022 | Finding Home Healthcare, Inc. | Clinic/Center | 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 | 2016-10-20 |
1952857161 | Mitchell Truong | Pharmacist | 622 E. Ustick Road, Caldwell, ID 83646 | 2016-08-28 |
1134511264 | Brittany Laub | Massage Therapist | 2572 N Stokesberry Pl #300, Meridian, ID 83646 | 2015-02-26 |
1194117366 | Westfall Ventures, Inc | Health Maintenance Organization | 2572 N. Stokesberry Pl, Meridian, ID 83646 | 2015-02-25 |
Find all providers in zip 83646 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568766566 | Northwest Neurobehavioral Health, LLC | Clinical Neuropsychologist | 2950 E Magic View Dr Ste 140, Meridian, ID 83642-9273 | 2011-01-05 |
1952319394 | Jamie Rae Champion | Clinical Neuropsychologist | 2365 E Gala St, Suite #2, Meridian, ID 83642-4881 | 2006-08-03 |
1053348441 | Clay Herold Ward | Clinical Neuropsychologist | 3061 S Meridian Rd, Suite 150, Meridian, ID 83642-7962 | 2006-06-28 |
1538412382 | Jason Southwick | Clinical Neuropsychologist | 3061 S Meridian Rd, Ste 100, Meridian, ID 83642-7962 | 2012-10-17 |
1467670653 | Tyler T Whitney | Clinical Neuropsychologist | 2273 E Gala St, Suite 120, Meridian, ID 83642-7289 | 2007-04-23 |
1982734984 | Melody L Snider | Clinical Neuropsychologist | 2498 N Stokesberry Pl, Suite 150, Meridian, ID 83646-5150 | 2007-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033723713 | Melinda Michelle Rojas-toto | Clinical Neuropsychologist | 10420 N Emig Ave, Hayden, ID 83835-7204 | 2020-09-01 |
1649638206 | Richard B Cluff | Clinical Neuropsychologist | 631 Vale Ln, Rexburg, ID 83440-1671 | 2016-02-10 |
1912112277 | Lorilee Critchfield | Clinical Neuropsychologist | 488 Blue Lakes Blvd N Ste 106, Twin Falls, ID 83301-4882 | 2007-05-11 |
1295954485 | Saint Alphonsus Regional Medical Center Inc | Clinical Neuropsychologist | 717 N Liberty St, Boise, ID 83704-9342 | 2007-04-25 |
1952443640 | Christine Pickford | Clinical Neuropsychologist | 1104 N 18th St, Boise, ID 83702-3321 | 2007-02-12 |
1225176498 | Craig W. Beaver | Clinical Neuropsychologist | 250 Bobwhite Ct Ste 220, Boise, ID 83706-3983 | 2007-02-01 |
1831282847 | Daniel S Hayes 401k | Clinical Neuropsychologist | 2190 W Ironwood Center Dr Ste 2, Coeur D Alene, ID 83814-2695 | 2006-10-02 |
1902906209 | Steven L. Ater | Clinical Neuropsychologist | 500 S. 11th St., Portneuf Medical Center, Pocatello, ID 83201 | 2006-09-25 |
1326008053 | David E Nilsson | Clinical Neuropsychologist | 2537 W. State St., Suite 210, Boise, ID 83702 | 2006-03-25 |
1801870050 | John A Wolfe | Clinical Neuropsychologist | 296 W. Sunset Ave, Ste 15, Coeur D'alene, ID 83815-8366 | 2005-12-01 |
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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.