Organization Active NPI

J P Augustine Noonan MD PC

  • Psychiatry Physician
  • Southington, CT
National Provider Identifier
1013221985
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
019423 Issued in CT
Legal business name
J P AUGUSTINE NOONAN MD PC
Practice address
51 N Main St
2C
Southington, CT 06489-2537
Phone
(860) 628-6281
Fax
(860) 628-0219
NPI assigned
Aug 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Dr. J.P. Augustine Noonan, MD
Title
President
Phone
(860) 628-6281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 019423 CT Primary

Addresses

Primary practice location

51 N Main St
2C
Southington, CT 06489-2537

Mailing address

51 N Main St
2C
Southington, CT 06489-2537
Phone (860) 628-6281

National Provider Directory

National Provider Directory

Locations

51 N Main St
Ste 2C
Southington, CT 06489
Phone (860) 621-2280

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1013221985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N MAIN ST",
            "address_2": "2C",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892537",
            "telephone_number": "860-628-6281",
            "fax_number": "860-628-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N MAIN ST",
            "address_2": "2C",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892537",
            "telephone_number": "860-628-6281",
            "fax_number": "860-628-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J P AUGUSTINE NOONAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "NOONAN",
        "authorized_official_first_name": "J.P.",
        "authorized_official_middle_name": "AUGUSTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-628-6281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "019423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.