Individual provider Active NPI

Noga Niv, PH.D

  • Psychologist
  • Los Altos Hills, CA
National Provider Identifier
1730227067
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY15499 Issued in CA
Practice address
27240 Natoma Rd
Los Altos Hills, CA 94022-4306
Phone
(650) 494-1626
NPI assigned
Feb 1, 2007
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY15499 CA Primary

Addresses

Primary practice location

27240 Natoma Rd
Los Altos Hills, CA 94022-4306

Mailing address

27240 Natoma Rd
Los Altos Hills, CA 94022-4306
Phone (650) 494-1626

Other identifiers 1

IdentifierTypeStateIssuer
129448OtherCAVALUE OPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 25, 2021 through Aug 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY15499CAMDPsychologist
15499CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1730227067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27240 NATOMA RD",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940224306",
            "telephone_number": "650-494-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27240 NATOMA RD",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940224306",
            "telephone_number": "650-494-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIV",
        "first_name": "NOGA",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY15499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "129448",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos Hills, CA

Sources for this page

Verify at the official NPI Registry.