Noll Psychological Group, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY01864 Issued in MO

Legal business name

NOLL PSYCHOLOGICAL GROUP, INC

Practice address

15515 N Mount Olivet Rd
Smithville, MO 64089-9076

Phone

(816) 835-9882

NPI assigned

Jul 14, 2005

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Noll, PH.D.NPI 1407854292

Title

Corporate Secretary

Phone

(816) 835-9882

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Noll, PH.D.

  • Clinical Neuropsychologist
  • Kansas City, MO
  • NPI 1407854292
  Medicare reassignment Authorized official
• Laura Jean Noll, PSY.D.

  • Clinical Psychologist
  • Smithville, MO
  • NPI 1609885755
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1083612865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15515 N MOUNT OLIVET RD",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640899076",
            "telephone_number": "816-835-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15515 N MOUNT OLIVET RD",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640899076",
            "telephone_number": "816-835-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLL PSYCHOLOGICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NOLL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "816-835-9882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MO",
            "license": "PYR0288",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "PYR0288",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "PY01864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francesca Lynn Minnis, FNP
• Missouri Dental Professionals, Richard Straus, DMD, PC (Dentistry at Smithville Marketplace)
• Beckie S Moore, CS FNP
• N & R of Smithville LLC (Smithville Living Center)
• Sandra J Nolan, APRN
• Laura Jean Noll, PSY.D.
• Dylan Anthony Padberg, PT, DPT
• Emily Catherine Perry, M.D.
• Gerald H Phillips, M.D.
• Katie Powers

• Clinical Psychologist in Smithville, MO
• Providers in Smithville, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.