Noelle J Deckman, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY31545 Issued in CA

Practice address

69 Highland Ave
Bangor, ME 04401-4652

Phone

(949) 689-3229

NPI assigned

Jun 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ocd, Anxiety, and Trauma Psychological Services, P.C.

  • Clinical Psychologist
  • Bangor, ME
  • NPI 1306670203
  NPD Authorized official

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725148800000",
    "number": "1457612574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY STE 1171",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681",
            "telephone_number": "949-689-3220",
            "fax_number": "855-933-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 HIGHLAND AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014652",
            "telephone_number": "949-689-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKMAN",
        "first_name": "NOELLE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachery Deabay, PHARMD
• Erika Dean, MS, OTR/L
• Julia Deason, CRNA
• Debbie Hill Hunter, CNM
• Susan Decarlo-Piccirillo, CRNA
• Julianna Decuzzi, MD
• Lauren Degrange, LCSW
• Harleen Kaur Dehal
• Mary Kay Deighan, R.N.
• William Alexander Deighan, D.M.D.

• Clinical Psychologist in Bangor, ME
• Providers in Bangor, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.