Active NPI
Judith Allison Noddin, M.A.
- Marriage & Family Therapist
- Daly City, CA
National Provider Identifier
1285851410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 45379
- Practice address
- 85 Washington St
Daly City, CA 94014-2500 - Phone
- (650) 755-0858
- Fax
- (650) 755-1754
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 45379 | CA | Primary |
Addresses
Primary practice location
85 Washington St
Daly City, CA 94014-2500
Mailing address
610 Elm St
Suite 212
San Carlos, CA 94070-8401
Phone (650) 591-9623
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45379 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212192000000",
"number": "1285851410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 ELM ST",
"address_2": "SUITE 212",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940708401",
"telephone_number": "650-591-9623",
"fax_number": "650-591-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 WASHINGTON ST",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940142500",
"telephone_number": "650-755-0858",
"fax_number": "650-755-1754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NODDIN",
"first_name": "JUDITH",
"middle_name": "ALLISON",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2008-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "45379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.