Individual provider Active NPI

E. Ree Noh, PH.D.

  • Clinical Psychologist
  • Reno, NV
National Provider Identifier
1770603029
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0595 Issued in NV
Practice address
3732 Lakeside Dr
Suite 200
Reno, NV 89509-5278
Phone
(775) 473-8807
Fax
(775) 473-8807
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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 PY0595 NV Primary

Addresses

Primary practice location

3732 Lakeside Dr
Suite 200
Reno, NV 89509-5278

Mailing address

3732 Lakeside Dr
Suite 200
Reno, NV 89509-5278
Phone (775) 473-8807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY0595NVMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1770603029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 LAKESIDE DR",
            "address_2": "SUITE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095278",
            "telephone_number": "775-473-8807",
            "fax_number": "775-473-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 LAKESIDE DR",
            "address_2": "SUITE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095278",
            "telephone_number": "775-473-8807",
            "fax_number": "775-473-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOH",
        "first_name": "E. REE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.