Ardyth A. Norem, PH.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0817 Issued in NM

Practice address

15 E Chili Line Rd
Santa Fe, NM 87508-1395

Phone

(505) 473-4017

NPI assigned

Aug 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Science, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043229115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E CHILI LINE RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875081395",
            "telephone_number": "505-473-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E CHILI LINE RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875081395",
            "telephone_number": "505-473-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOREM",
        "first_name": "ARDYTH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "0817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00JM96",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36573353",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN",
            "identifier": "89991",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00073759",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrea Nicole Nolan, CRNA
• James M Nolan, LPCC
• Leeann Nolan, DMD
• Sera Anah Nolan, LCSW
• Kya Norby, PHARMD
• Sarai Noriega
• Carol Norris, MFT
• Gillian Norris, NP
• William Scott Norris, LICENSED MASSAGE
• North Central New Mexico Economic Development District

• Psychologist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.