Althea L. Noukki, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2485-057 Issued in WI

Practice address

111 N Jefferson St
Green Bay, WI 54301-5005

Phone

(920) 448-6108

NPI assigned

Jun 12, 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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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.

• County of Brown

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Green Bay, WI
  • NPI 1942305065
  Medicare reassignment NPD
• County of Brown

  • Public Health or Welfare Agency
  • Green Bay, WI
  • NPI 1134322787
  NPD

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1508128901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N JEFFERSON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543015005",
            "telephone_number": "920-448-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N JEFFERSON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543015005",
            "telephone_number": "920-448-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOUKKI",
        "first_name": "ALTHEA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2485-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Wisconsin Behavioral Health SC
• Northeast Wisconsin Technical College
• Northwest Counseling & Guidance Clinic
• Northwoods Family Physical Medicine of Wisconsin, S.C.
• Susan Norton, MS LPC
• Heather Marie Novak, CSAC, LPC, ICS
• Ashton Novy, PA-C
• Colleen Elizabeth Nowak, DPT
• Courtney Nowak, RN
• Peter William Nowak, PHARM.D.

• Clinical Psychologist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.