Organization Active NPI

Carolyn J. Noel, PLLC

  • Clinical Neuropsychologist
  • Arlington, VA
National Provider Identifier
1154797645
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0810003790 Issued in VA
Legal business name
CAROLYN J. NOEL, PLLC
Practice address
2200 Wilson Blvd
Suite 401
Arlington, VA 22201-3397
Phone
(703) 875-0475
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Dr. Carolyn J Noel, PSY. D
Title
Clinical Neuropsychologist/Owner
Phone
(703) 875-0475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 0810003790 VA Primary

Addresses

Primary practice location

2200 Wilson Blvd
Suite 401
Arlington, VA 22201-3397

Mailing address

2200 Wilson Blvd
Suite 401
Arlington, VA 22201-3397
Phone (703) 875-0475

Other names 1

  • Cherry Tree Neuropsychology Doing business as

National Provider Directory

National Provider Directory

Locations

2200 Wilson Blvd
Ste 401
Arlington, VA 22201
Phone (703) 875-0475

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1154797645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WILSON BLVD",
            "address_2": "SUITE 401",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222013397",
            "telephone_number": "703-875-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WILSON BLVD",
            "address_2": "SUITE 401",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222013397",
            "telephone_number": "703-875-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN J. NOEL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL NEUROPSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "703-875-0475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810003790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry Tree Neuropsychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.