Individual provider Active NPI

Ryan Noel, PSYD

  • Clinical Psychologist
  • Portland, ME
National Provider Identifier
1801558192
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS2463 Issued in ME
Practice address
257 Deering Ave Ste 201
Portland, ME 04103-4858
Phone
(207) 910-2021
NPI assigned
Oct 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2024

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 PS2463 ME Primary

Addresses

Primary practice location

257 Deering Ave Ste 201
Portland, ME 04103-4858

Mailing address

31 Doughty Farm Rd
Gray, ME 04039-9301
Phone (415) 926-9168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20241118000164 ME Practitioner - Clinical Psychologist 8921496373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

257 Deering Ave
Suite 201
Portland, ME 04103-4858
Phone 2072201908101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS2463MEMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Therapy Collective PLLC Clinical CurrentSince Nov 8, 2024 Accepting new patients

Locations

257 Deering Ave
Ste 201
Portland, ME 04103
Phone (207) 220-1194

Organizations & group practices 1

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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1801558192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 DOUGHTY FARM RD",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040399301",
            "telephone_number": "415-926-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 DEERING AVE STE 201",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034858",
            "telephone_number": "207-910-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOEL",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS2463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.