Noble Cedar Psychological Institute

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

001144 Issued in IA

Legal business name

NOBLE CEDAR PSYCHOLOGICAL INSTITUTE

Practice address

1425 W. 5TH Street
Suite 1
Waterloo, IA 50702

Phone

(319) 883-9811

Fax

(319) 883-9811

NPI assigned

Jul 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Christine Guevara, PH.D.NPI 1629262316

Title

Manager and Clinical Director

Phone

(319) 883-9811

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Christine Guevara, PH.D.

  • Psychologist
  • Waterloo, IA
  • NPI 1629262316
  NPD (past) Authorized official

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1972859288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 RAINBOW DR STE 1",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507011133",
            "telephone_number": "319-883-9811",
            "fax_number": "319-883-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W. 5TH STREET",
            "address_2": "SUITE 1",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50702",
            "telephone_number": "319-883-9811",
            "fax_number": "319-883-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE CEDAR PSYCHOLOGICAL INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "MANAGER AND CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "319-883-9811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "001144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Nichelle Nicholson, CRNA
• Kent A Nickell, M.D.
• Lindsay Ann Nie, ARNP
• Kelley Nieman
• Jasmine Nimmo
• Joseph T. Nora, MD
• Karlea J Norby, CNM
• North Iowa Juvenile Detention Services
• North Iowa Juvenile Detention Services
• North Iowa Juvenile Detention Services

• Clinical Psychologist in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Clinical Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.