Individual provider Active NPI

Joyce C Noble, PHD

  • Psychologist
  • Springfield, MO
National Provider Identifier
1700929288
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
00903 Issued in MO
Practice address
1965 S Fremont Ave
Suite 310
Springfield, MO 65804-2201
Phone
(417) 820-3228
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 00903 MO Primary

Addresses

Primary practice location

1965 S Fremont Ave
Suite 310
Springfield, MO 65804-2201

Mailing address

PO Box 2580
Springfield, MO 65801-2580
Phone (417) 829-4620

Other identifiers 3

IdentifierTypeStateIssuer
82897OtherARARK BLUE SHIELD
497690206MedicaidMO
110385OtherMOMO BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20040610000987 MO Practitioner - Clinical Psychologist 6204819295 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
00903MOMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Arc of the Ozarks Psychologist CurrentSince Jun 15, 2024 Accepting new patients
Mercy Clinic Springfield Communities Psychologist CurrentSince Jul 1, 2014 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jul 1, 2014 Accepting new patients
The Arc of the Ozarks CurrentSince Jun 15, 2024 Accepting new patients
Mercy Clinic Springfield Communities Psychologist Past Accepting new patients

Locations

1312 E Lark St
#L
Springfield, MO 65804
Phone (417) 820-3707

2864 S Nettleton Ave
Springfield, MO 65807
Phone (417) 605-7100

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

2030 S National Ave
Ste 105
Springfield, MO 65804
Phone (417) 820-9590

2055 S Fremont Ave
#1000
Springfield, MO 65804
Phone (417) 820-8099

1965 S Fremont Ave
Ste 310
Springfield, MO 65804
Phone (417) 820-3128

1721 W Elfindale St
Springfield, MO 65807
Phone (417) 605-7100

Interoperability endpoints

  • Direct secure messaging: jnoble567@directb.mercy.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1700929288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2580",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658012580",
            "telephone_number": "417-829-4620",
            "fax_number": "417-829-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 S FREMONT AVE",
            "address_2": "SUITE 310",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042201",
            "telephone_number": "417-820-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "JOYCE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "00903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK BLUE SHIELD",
            "identifier": "82897",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497690206",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO BLUE SHIELD",
            "identifier": "110385",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.