Individual provider Active NPI

Robert J. Noone, PH.D

  • Marriage & Family Therapist
  • Evanston, IL
National Provider Identifier
1902815574
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
149004166 Issued in IL
Practice address
820 Davis St
Suite 504
Evanston, IL 60201-4431
Phone
(847) 507-3460
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149004166 IL
Marriage & Family Therapist 106H00000X 149004166 IL Primary

Addresses

Primary practice location

820 Davis St
Suite 504
Evanston, IL 60201-4431

Mailing address

820 Davis St
Suite 504
Evanston, IL 60201-4431
Phone (847) 507-3460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20120525000436 IL Practitioner - Clinical Social Worker 5092611715 Practice locations: Evanston, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

820 Davis St
Evanston, IL 60201-4448
Phone (847) 507-3460

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
149004166ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Center of Wilmette Glenview Northbrook Kenilworth Clinical PastSince Nov 15, 2011 Accepting new patients

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1902815574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 DAVIS ST",
            "address_2": "SUITE 504",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014431",
            "telephone_number": "847-507-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 DAVIS ST",
            "address_2": "SUITE 504",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014431",
            "telephone_number": "847-507-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONE",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149004166",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "149004166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.