Active NPI
Johannes Noordeloos, PSY.D.
- Psychologist
- Oceanside, CA
National Provider Identifier
1649443458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 21378
- Practice address
- 2234 Edgewood PL
Oceanside, CA 92054-3615 - Phone
- (760) 231-5828
- NPI assigned
- Apr 12, 2008
- Last updated
- Apr 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 21378 | CA | Primary |
Addresses
Primary practice location
2234 Edgewood PL
Oceanside, CA 92054-3615
Mailing address
2234 Edgewood Place
Oceanside, CA 92054
Phone (760) 231-5828
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207958400000",
"number": "1649443458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 EDGEWOOD PLACE",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92054",
"telephone_number": "760-231-5828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2234 EDGEWOOD PL",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920543615",
"telephone_number": "760-231-5828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOORDELOOS",
"first_name": "JOHANNES",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-12",
"last_updated": "2008-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "21378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.