SERENITY NEUROPSYCHOLOGY, PLLC


Address: 2498 N Stokesberry Pl Ste 150, Meridian, ID 83646-5150
Phone: 2089575450

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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 Provider/Organization Names

Other Name Type Code
Dr M. Snider PLLC Former Legal Business Name - Organization
SERENITY NEUROPSYCHOLOGY & COUNSELING Doing Business As Name - Organization

Office Location

Street Address 2498 N STOKESBERRY PL STE 150
City MERIDIAN
State ID
Zip Code 83646-5150

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City MERIDIAN
Zip Code 83646

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Dataset Information

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.

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