Active NPI
Linda Noval, PSYD
- Clinical Psychologist
- Vancouver, WA
National Provider Identifier
1235568445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1195
- Practice address
- 10000 NE 7TH Ave Ste 215
Vancouver, WA 98685-4542 - Phone
- (360) 574-9565
- NPI assigned
- Nov 7, 2013
- 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 | 1195 | OR | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1195 | OR |
Addresses
Primary practice location
10000 NE 7TH Ave Ste 215
Vancouver, WA 98685-4542
Mailing address
10000 NE 7TH Ave Ste 215
Vancouver, WA 98685-4542
Phone (360) 574-9565
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1195 | Other | OR | STATE LICENSE NUMBER |
| PY00002821 | Other | WA | STATE LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1195 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1235568445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 NE 7TH AVE STE 215",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986854542",
"telephone_number": "360-574-9565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 NE 7TH AVE STE 215",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986854542",
"telephone_number": "360-574-9565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAL",
"first_name": "LINDA",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-07",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "1195",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "OR",
"license": "1195",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "1195",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "PY00002821",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}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 Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.