NICHOLAS NOLL (NPI# 1407854292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407854292 |
| Entity Type | Individual |
| Full Name | NICHOLAS NOLL |
| Credential | PH.D. |
| Practice Address |
1208 Ne 97th St Kansas City MO 64155-2109 |
| Practice Telephone | 8168359882 |
| Mailing Telephone | 8168359882 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | PYR0288 | MO | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PYR0288 | MO | Behavioral Health & Social Service Providers |
| Street Address |
1208 NE 97TH ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64155-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104475383 | Margaret A Shetley | Technician | 9023 Nw Anglia Rd, Kansas City, MO 64155 | 2019-09-10 |
| 1477031540 | Abby Pearson | Massage Therapist | 190 Ne 90th Street, Suite 16, Kansas City, MO 64155 | 2018-08-01 |
| 1619408291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1600 Nw 88th St, Kansas City, MO 64155 | 2017-03-24 |
| 1013322262 | Ryan Bland | Dentist | 9241 North Oak Trafficway, Kansas City, MO 64155 | 2014-06-26 |
| 1134540289 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 10210 N. Oak Trafficway, Suite 100-300, Kansas City, MO 64155 | 2013-12-16 |
| 1366875718 | Staley Dental Arts, LLC | Dentist | 506 Ne 107th Street, Kansas City, MO 64155 | 2013-08-20 |
| 1902137433 | Gary D Cooper | Internal Medicine | 1501 Ne 98th St, Kansas City, MO 64155 | 2010-01-22 |
| 1780845305 | Heather Jean Malone | Pediatrics | 8781 N. Platte Purchase Drive, Kansas City, MO 64155 | 2008-06-17 |
| 1639390370 | John Michael Dicapo | Physical Therapist | 1110 Ne 85 Ct, Kansas City, MO 64155 | 2007-05-01 |
| 1467502021 | Laurie D Riddell | Pediatrics | 8781 N Platte Purchase Dr, Kansas City, MO 64155 | 2007-01-12 |
| Find all providers in zip 64155 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750612925 | Stress Control Center Inc, P C | Clinical Neuropsychologist | 800 W 47th St Ste 514, Kansas City, MO 64112-1247 | 2010-01-27 |
| 1134274822 | Sally Ann Frutiger | Clinical Neuropsychologist | Center for Neuropsychology, University of Kansas Hospital, Kansas City, KS 66160-0001 | 2007-01-24 |
| 1477648111 | Eric Phillip Ecklund-johnson | Clinical Neuropsychologist | University of Kansas Hospital, 3901 Rainbow Blvd., Mail Stop 1059, Kansas City, KS 66160-0001 | 2006-10-04 |
| 1871537456 | David Lytle Pyle | Clinical Neuropsychologist | 5354 Longview Rd, Kansas City, MO 64137-2731 | 2006-06-15 |
| 1316235161 | Rachel Jensen | Clinical Neuropsychologist | 3011 Baltimore Ave, Kansas City, MO 64108-3403 | 2011-07-14 |
| 1881846905 | John Joshua Hall | Clinical Neuropsychologist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-10-21 |
| 1437224326 | William Blessing | Clinical Neuropsychologist | 1010 Carondelet Dr, Suite 201, Kansas City, MO 64114-4859 | 2006-11-23 |
| 1558436527 | Stephen Alan Jackson | Clinical Neuropsychologist | 1000 E 24th St, Kansas City, MO 64108-2776 | 2006-11-22 |
| 1952415309 | Terrie Lynn Price | Clinical Neuropsychologist | 3011 Baltimore Ave, Kansas City, MO 64108-3403 | 2006-08-19 |
| 1356362578 | Dean Ray Skadeland | Clinical Neuropsychologist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2006-07-22 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64155 |
Please comment or provide details below to improve the information on NICHOLAS NOLL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.