Individual provider Active NPI

Carol R Noble, PH.D.

  • Clinical Psychologist
  • Roslyn Heights, NY
National Provider Identifier
1699726026
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5081 Issued in NY
Practice address
185 Roslyn Rd
Suite 2
Roslyn Heights, NY 11577-1356
Phone
(516) 621-7202
NPI assigned
May 12, 2006
Last updated
Mar 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5081 NY Primary

Addresses

Primary practice location

185 Roslyn Rd
Suite 2
Roslyn Heights, NY 11577-1356

Mailing address

176 Castle Hill Ave
Great Barrington, MA 01230-1026
Phone (413) 644-8880

Other names 1

  • Dr. Carol Gottlieb Noble Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20091210000607 MA Practitioner - Clinical Psychologist 8123031861 Practice locations: Great Barrington, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

176 Castle Hill Ave
Great Barington, MA 01230-1026
Phone (413) 644-8880

22 Elm St
Great Barrington, MA 01230-1626
Phone (413) 644-8880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5081NYMDClinical Psychologist
8991MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Mental Health Management LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1699726026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 CASTLE HILL AVE",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301026",
            "telephone_number": "413-644-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 ROSLYN RD",
            "address_2": "SUITE 2",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771356",
            "telephone_number": "516-621-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "CAROL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "5081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "NOBLE",
            "middle_name": "GOTTLIEB",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roslyn Heights, NY

Sources for this page

Verify at the official NPI Registry.