Active NPI
Noreen Vickrey, PH.D.
- Psychologist
- Irving, TX
National Provider Identifier
1679626303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 22133
- Practice address
- 5525 N Macarthur Blvd Ste 800
Irving, TX 75038-2646 - Phone
- (972) 550-2538
- Fax
- (480) 827-1551
- NPI assigned
- Jan 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 22133 | TX | Primary |
Addresses
Primary practice location
5525 N Macarthur Blvd Ste 800
Irving, TX 75038-2646
Mailing address
1220 S Alma School Rd Ste 109
Mesa, AZ 85210-2078
Phone (972) 559-2538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P000N09C0 | Medicaid | TX |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22133 | TX | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalina Behavioral Health Services | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Psychologist
- Tempe, AZ
- NPI 1972709566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679626303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 S ALMA SCHOOL RD STE 109",
"city": "MESA",
"state": "AZ",
"postal_code": "852102078",
"telephone_number": "972-559-2538",
"fax_number": "480-827-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 N MACARTHUR BLVD STE 800",
"city": "IRVING",
"state": "TX",
"postal_code": "750382646",
"telephone_number": "972-550-2538",
"fax_number": "480-827-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICKREY",
"first_name": "NOREEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "22133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P000N09C0",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.