Individual provider Active NPI

Shari Lynn Noe, PSYD

  • Clinical Psychologist
  • Waban, MA
National Provider Identifier
1194984955
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8232 Issued in MA
Practice address
91 Wyman St
Suite One
Waban, MA 02468-1529
Phone
(617) 969-7891
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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 8232 MA Primary

Addresses

Primary practice location

91 Wyman St
Suite One
Waban, MA 02468-1529

Mailing address

91 Wyman Street
Suite One
Waban, MA 02468
Phone (617) 969-7891

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8232MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Lifespan Development Clinical Past Accepting new patients

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": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1194984955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 WYMAN STREET",
            "address_2": "SUITE ONE",
            "city": "WABAN",
            "state": "MA",
            "postal_code": "02468",
            "telephone_number": "617-969-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 WYMAN ST",
            "address_2": "SUITE ONE",
            "city": "WABAN",
            "state": "MA",
            "postal_code": "024681529",
            "telephone_number": "617-969-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOE",
        "first_name": "SHARI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waban, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.