Individual provider Active NPI

Elizabeth Mintzer Nolan, PH.D.

  • Clinical Psychologist
  • Allentown, PA
National Provider Identifier
1194872747
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016129 Issued in PA
Practice address
1605 N Cedar Crest Blvd Ste 410
Allentown, PA 18104-2323
Phone
(610) 379-7070
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS016129 PA Primary

Addresses

Primary practice location

1605 N Cedar Crest Blvd Ste 410
Allentown, PA 18104-2323

Mailing address

7 Neshaminy Interplex Dr Ste 411
Trevose, PA 19053-6976
Phone (610) 544-2110

Other practice location 1

7 Neshaminy Interplex Dr Ste 411
Trevose, PA 19053-6976
Phone (610) 544-2110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS016129PAMDClinical Psychologist

Interoperability endpoints

  • Direct secure messaging: elizabeth.nolan.1@28623.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1194872747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 NESHAMINY INTERPLEX DR STE 411",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536976",
            "telephone_number": "610-544-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 N CEDAR CREST BLVD STE 410",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042323",
            "telephone_number": "610-379-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Neshaminy Interplex Dr Ste 411",
            "address_purpose": "LOCATION",
            "city": "Trevose",
            "state": "PA",
            "postal_code": "190536976",
            "country_code": "US",
            "telephone_number": "610-544-2110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "ELIZABETH",
        "middle_name": "MINTZER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.