Active NPI
Rachel Lynn Noonchester, MA, TLLP
- Clinical Psychologist
- Plymouth, MI
National Provider Identifier
1699246652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301017734
- Practice address
- 595 Forest Ave
Plymouth, MI 48170-1775 - Phone
- (734) 446-5466
- NPI assigned
- Dec 16, 2018
- Last updated
- Dec 16, 2018
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301017734 | MI | Primary |
Addresses
Primary practice location
595 Forest Ave
Plymouth, MI 48170-1775
Mailing address
18117 Glengarry Dr
Livonia, MI 48152-4092
Phone (734) 812-4243
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301017734 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544918400000",
"number": "1699246652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18117 GLENGARRY DR",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481524092",
"telephone_number": "734-812-4243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 FOREST AVE",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701775",
"telephone_number": "734-446-5466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOONCHESTER",
"first_name": "RACHEL",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MA, TLLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301017734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.