Noah Charles Venables, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP6818 Issued in MN

Practice address

6800 France Avenue South
Suite 300
Edina, MN 55435

Phone

(612) 276-2628

Fax

(855) 702-2517

NPI assigned

Aug 22, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1962059188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13570 GROVE DR STE 130",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114400",
            "telephone_number": "612-612-2728",
            "fax_number": "855-702-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 FRANCE AVENUE SOUTH",
            "address_2": "SUITE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "612-276-2628",
            "fax_number": "855-702-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENABLES",
        "first_name": "NOAH",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-22",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Vaughn, PMHNP-BC
• Susan M Vaughn, O.T.
• Patricia M Vayda, DMD, DMSC
• Alexandra Michele Vecchia, PHARMD
• Steven J Veker, D.D.S.
• Judith A Venasky, CRNA
• Robert Louis Venegoni, M.D.
• Darci Kay Larae Venem, AUD
• Ana Carolina Vera
• Amanda Marie Verdon, CRNA

• Clinical Psychologist in Edina, MN
• Providers in Edina, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.