Individual provider Active NPI

Ryoichi John Paul Noguchi, PH.D.

  • Psychologist
  • Washington, DC
National Provider Identifier
1477072536
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY1001239 Issued in DC
Practice address
1350 Connecticut Ave NW Ste 612
Washington, DC 20036-1735
Phone
(202) 888-9183
Fax
(202) 888-9193
NPI assigned
Sep 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0810004915 VA
Psychologist 103T00000X PSY1001239 DC Primary

Addresses

Primary practice location

1350 Connecticut Ave NW Ste 612
Washington, DC 20036-1735

Mailing address

1350 Connecticut Ave NW Ste 612
Washington, DC 20036-1735
Phone (202) 888-9183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 19, 2023 through Jan 19, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY1001239DCMDPsychologist
0810004915VAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1477072536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 CONNECTICUT AVE NW STE 612",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361735",
            "telephone_number": "202-888-9183",
            "fax_number": "202-888-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 CONNECTICUT AVE NW STE 612",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361735",
            "telephone_number": "202-888-9183",
            "fax_number": "202-888-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOGUCHI",
        "first_name": "RYOICHI",
        "middle_name": "JOHN PAUL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-10",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810004915",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1001239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.