Individual provider Active NPI

Maia Noeder, PHD

  • Clinical Child & Adolescent Psychologist
  • Wilmington, DE
National Provider Identifier
1831574946
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
B10001036 Issued in DE
Practice address
1207 Delaware Ave # 4422
Wilmington, DE 19806-4743
Phone
(302) 321-5330
NPI assigned
Jul 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X C100 DE
Clinical Child & Adolescent Psychologist 103TC2200X B10001036 DE Primary

Addresses

Primary practice location

1207 Delaware Ave # 4422
Wilmington, DE 19806-4743

Mailing address

1207 Delaware Ave # 4422
Wilmington, DE 19806-4743
Phone (302) 321-5330

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: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
B10001036DEMDClinical Child & Adolescent Psychologist
C100DEMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthspan Psychology LLC CurrentSince Jan 26, 2025 Accepting new patients
The Nemours Foundation CurrentSince Oct 5, 2015 Accepting new patients
The Nemours Foundation CurrentSince Oct 5, 2015 Accepting new patients

Locations

1600 Rockland Rd
Wilmington, DE 19803

Organizations & group practices 3

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": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1831574946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 DELAWARE AVE # 4422",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064743",
            "telephone_number": "302-321-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 DELAWARE AVE # 4422",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064743",
            "telephone_number": "302-321-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOEDER",
        "first_name": "MAIA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "DE",
            "license": "C100",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "DE",
            "license": "B10001036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.