Active NPI
Brenda H Nobles, PHD
- Psychologist
- Malvern, AR
National Provider Identifier
1962561217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7519P
- Practice address
- 1002 Schneider Drive
Suite 101
Malvern, AR 72104 - Phone
- (501) 315-1309
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7519P | AR | Primary |
Addresses
Primary practice location
1002 Schneider Drive
Suite 101
Malvern, AR 72104
Mailing address
PO Box 824
Benton, AR 72018-0824
Phone (501) 315-1309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7519P | AR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962561217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 824",
"city": "BENTON",
"state": "AR",
"postal_code": "720180824",
"telephone_number": "501-315-1309",
"fax_number": "501-315-1309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 SCHNEIDER DRIVE",
"address_2": "SUITE 101",
"city": "MALVERN",
"state": "AR",
"postal_code": "72104",
"telephone_number": "501-315-1309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLES",
"first_name": "BRENDA",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AR",
"license": "7519P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malvern, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.