Individual provider Active NPI

Ruth Noel, M.D.

  • Child & Adolescent Psychiatry Physician
  • Kentfield, CA
National Provider Identifier
1760683999
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
G41013 Issued in CA
Practice address
810 College Ave
Suite 2a
Kentfield, CA 94904-2532
Phone
(415) 451-0104
Fax
(415) 451-0194
NPI assigned
May 28, 2007
Last updated
Oct 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G41013 CA
Child & Adolescent Psychiatry Physician 2084P0804X G41013 CA Primary

Addresses

Primary practice location

810 College Ave
Suite 2a
Kentfield, CA 94904-2532

Mailing address

810 College Ave
Suite 2a
Kentfield, CA 94904-2532
Phone (415) 451-0104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G41013CAMDPsychiatry Physician
41013CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1760683999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 COLLEGE AVE",
            "address_2": "SUITE 2A",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949042532",
            "telephone_number": "415-451-0104",
            "fax_number": "415-451-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 COLLEGE AVE",
            "address_2": "SUITE 2A",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949042532",
            "telephone_number": "415-451-0104",
            "fax_number": "415-451-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOEL",
        "first_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-28",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G41013",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G41013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentfield, CA

Sources for this page

Verify at the official NPI Registry.