Organization Active NPI

Noble Psychological Services, PLLC

  • Clinical Psychologist
  • Joliet, IL
National Provider Identifier
1851062129
Registry record updated Sep 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
NOBLE PSYCHOLOGICAL SERVICES, PLLC
Practice address
2509 Erskine Rd
Joliet, IL 60433-1613
Phone
(815) 904-3018
NPI assigned
Sep 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2021

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

Authorized official

Name
Dr. Inna Mirsky, PSYDNPI 1609184803
Title
Clinical Psychologist
Phone
(815) 904-3018

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2509 Erskine Rd
Joliet, IL 60433-1613

Mailing address

2509 Erskine Rd
Joliet, IL 60433-1613
Phone (815) 904-3018

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632528000000",
    "number": "1851062129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 ERSKINE RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604331613",
            "telephone_number": "815-904-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 ERSKINE RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604331613",
            "telephone_number": "815-904-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-25",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A",
        "authorized_official_last_name": "MIRSKY",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "815-904-3018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.