Noelle Santorelli, PHD, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY003479 Issued in GA

Legal business name

NOELLE SANTORELLI, PHD, LLC

Practice address

2801 Buford Hwy NE
Suite 501
Brookhaven, GA 30329-2149

Phone

(404) 919-9231

NPI assigned

Mar 16, 2017

Organization subpart

No

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

Authorized official

Name

Noelle Santorelli

Title

Psychologist

Phone

(404) 919-9231

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1285175745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BUFORD HWY NE",
            "address_2": "SUITE 501",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BUFORD HWY NE",
            "address_2": "SUITE 501",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292149",
            "telephone_number": "404-919-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOELLE SANTORELLI, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "SANTORELLI",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-919-9231"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.