Active NPI
Natalie Rita Noonan
- Clinical Neuropsychologist
- Newton, MA
National Provider Identifier
1356833024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 11784
- Practice address
- 1320 Centre St Ste 106
Newton, MA 02459-2488 - Phone
- (617) 202-3330
- Fax
- (617) 250-8303
- NPI assigned
- May 30, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PS01686 | RI | |
| Clinical Neuropsychologist | 103G00000X | 11784 | MA | Primary |
Addresses
Primary practice location
1320 Centre St Ste 106
Newton, MA 02459-2488
Mailing address
1320 Centre St Ste 106
Newton, MA 02459-2488
Phone (617) 202-3330
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 |
|---|---|---|---|
| 11784 | MA | MD | Clinical Neuropsychologist |
| PS01686 | RI | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1356833024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 CENTRE ST STE 106",
"city": "NEWTON",
"state": "MA",
"postal_code": "024592488",
"telephone_number": "617-202-3330",
"fax_number": "617-250-8303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 CENTRE ST STE 106",
"city": "NEWTON",
"state": "MA",
"postal_code": "024592488",
"telephone_number": "617-202-3330",
"fax_number": "617-250-8303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOONAN",
"first_name": "NATALIE",
"middle_name": "RITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-30",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "RI",
"license": "PS01686",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "11784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.