Individual provider Active NPI

Ursula Noto

  • Psychologist
  • Glendale, CA
National Provider Identifier
1063881415
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2012968 Issued in CA
Practice address
920 E Broadway
Glendale, CA 91205-1204
Phone
(818) 321-0630
NPI assigned
Sep 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X
Student in an Organized Health Care Education/Training Program 390200000X D4003366 CA
Psychologist 103T00000X 2012968 CA Primary

Addresses

Primary practice location

920 E Broadway
Glendale, CA 91205-1204

Mailing address

3031 Montrose Ave
Apt 6
La Crescenta, CA 91214-3658
Phone (818) 321-0630

Other practice location 1

160 S. Seventh Ave.
La Puente, CA 91744
Phone (626) 961-8971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230626003010 CA Practitioner - Clinical Psychologist 2961860796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10649 Riverside Dr
North Hollywood, CA 91602-2341
Phone (818) 253-1739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012968CAMDPsychologist
D4003366CAMDStudent in an Organized Health Care Education/Training Program

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1063881415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 MONTROSE AVE",
            "address_2": "APT 6",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143658",
            "telephone_number": "818-321-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051204",
            "telephone_number": "818-321-0630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 S. Seventh Ave.",
            "address_purpose": "LOCATION",
            "city": "La Puente",
            "state": "CA",
            "postal_code": "91744",
            "country_code": "US",
            "telephone_number": "626-961-8971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOTO",
        "first_name": "URSULA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "D4003366",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "2012968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.