Active NPI
Noreen Margaret Riordan, PH.D.
- Clinical Psychologist
- Vancouver, WA
National Provider Identifier
1235280009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY00001968
- 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, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY00001968 | WA | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.