NPIMap

Organization Active NPI

Mark E Noll PHD PC

  • Clinical Psychologist
  • Valparaiso, IN
National Provider Identifier
1720201007
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20010455A Issued in IN
Legal business name
MARK E NOLL PHD PC
Practice address
158 Napoleon St
Suite 104
Valparaiso, IN 46383-5529
Phone
(219) 465-7674
Fax
(219) 462-0329
NPI assigned
Apr 11, 2007
Last updated
Apr 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Dr. Mark E. Noll, PH.D.NPI 1174537476
Title
Psychologist
Phone
(219) 465-7674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20010455A IN Primary

Addresses

Primary practice location

158 Napoleon St
Suite 104
Valparaiso, IN 46383-5529

Mailing address

158 Napoleon St
Suite 104
Valparaiso, IN 46383-5529
Phone (219) 465-7674

National Provider Directory

National Provider Directory

Locations

158 Napoleon St
Ste 104
Valparaiso, IN 46383
Phone (219) 465-7674

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1720201007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 NAPOLEON ST",
            "address_2": "SUITE 104",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835529",
            "telephone_number": "219-465-7674",
            "fax_number": "219-462-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 NAPOLEON ST",
            "address_2": "SUITE 104",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835529",
            "telephone_number": "219-465-7674",
            "fax_number": "219-462-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E NOLL PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "NOLL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "219-465-7674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20010455A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.