Individual provider Active NPI

Noreen Margaret Riordan, PH.D.

  • Clinical Psychologist
  • Vancouver, WA
National Provider Identifier
1235280009
Registry record updated May 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00001968 Issued in WA
Practice address
601 Main St
Ste 505
Vancouver, WA 98660-3414
Phone
(360) 750-0632
Fax
(503) 248-2170
NPI assigned
Jan 16, 2007
Last updated
May 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY00001968 WA Primary
Clinical Psychologist 103TC0700X 1357 OR

Addresses

Primary practice location

601 Main St
Ste 505
Vancouver, WA 98660-3414

Mailing address

601 Main St
Ste 505
Vancouver, WA 98660-3414
Phone (360) 750-0632

Other names 1

  • Noreen Margaret Riordan-Sandoval Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060302000310 OR Practitioner - Clinical Psychologist 3971519703 Reassigns benefits to 1 organization
I20060302000315 WA Practitioner - Clinical Psychologist 3971519703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1020 SW Taylor St
Suite 715
Portland, OR 97205-2512
Phone (503) 274-0040

1112 Daniels St
Suite 102
Vancouver, WA 98660-3070
Phone (360) 750-0632

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY00001968WAMDClinical Psychologist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464393600000",
    "number": "1235280009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MAIN ST",
            "address_2": "STE 505",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603414",
            "telephone_number": "360-750-0632",
            "fax_number": "503-248-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MAIN ST",
            "address_2": "STE 505",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603414",
            "telephone_number": "360-750-0632",
            "fax_number": "503-248-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIORDAN",
        "first_name": "NOREEN",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00001968",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOREEN",
            "last_name": "RIORDAN-SANDOVAL",
            "middle_name": "MARGARET",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.