Christopher Noullet

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

559 Vincent St.
21 Mdos/Sgow - Attn: Mental Health
Peterson Afb, CO 80914-1540

Phone

(719) 556-7804

Fax

(877) 813-1756

NPI assigned

Sep 15, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1104295690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST.",
            "address_2": "21 MDOS/SGOW - ATTN: MENTAL HEALTH",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "809141540",
            "telephone_number": "719-556-7804",
            "fax_number": "877-813-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST.",
            "address_2": "21 MDOS/SGOW - ATTN: MENTAL HEALTH",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "809141540",
            "telephone_number": "719-556-7804",
            "fax_number": "877-813-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOULLET",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-15",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Edward Meno III, USAF IDMT-PARAMEDIC
• Michelle Montgomery, WHNP
• Andrew Erle Moore, M.D.
• Janel Sharp Moreno, ARNP
• Todd William Neu, PSYCHOLOGIST PHD
• John Glenn O'Donnell, PHARMD
• Ryan S Ogilvy, MSW, LCSW
• Dewaine Allen Olson Jr.
• Eric A Owens, O.D.
• Louis A Pagano Jr., PH.D.

• Psychologist in Peterson Afb, CO
• Providers in Peterson Afb, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.