DR. NOELLE J DECKMAN PHD
NPI 1457612574
Psychologist - Clinical in San Clemente, CA

Q: What is Noelle Deckman's NPI number?

The NPI number for Noelle Deckman is 1457612574. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Q: What is Noelle Deckman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Noelle Deckman enrolled in Medicare?

No. Noelle Deckman has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Noelle Deckman was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 05, 2012Opted out of Medicare · through Jul 1, 2027

629 CAMINO DE LOS MARES STE 207A, SAN CLEMENTE, CA 92673(949) 689-3220(855) 933-2706 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2020, Jan 9, 2020, Aug 6, 2019 and 1 more (4 updates tracked since 2019).

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About Dr. Noelle J Deckman Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NOELLE J DECKMAN PHD (NPI 1457612574) is an individual clinical provider in San Clemente, California, licensed in California (31545) and active in the NPI registry since June 2012. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1457612574

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. NOELLE J DECKMANCredential: PHD

Location Address629 CAMINO DE LOS MARES STE 207ASan Clemente, CA 92673

Mailing Address1968 S Coast Hwy Ste 1171Laguna Beach, CA 92651-3681 · (949) 689-3220 · Fax (855) 933-2706

Phone(949) 689-3220

Fax(855) 933-2706

Sole ProprietorYes

Enumeration DateJune 5, 2012

Last NPPES UpdateApril 22, 20204 updates tracked since enumeration

NPPES CertifiedApril 22, 2020

✔ NPI 1457612574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 31545

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

629 CAMINO DE LOS MARES STE 207A, San Clemente, CA 92673

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Noelle J Deckman Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LILY RANDALL PSYD

Psychologist

629 CAMINO DE LOS MARES STE 207A
SAN CLEMENTE, CA 92673

Orange County (714) 345-5200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Noelle Deckman's NPI number?

The NPI number for Noelle Deckman is 1457612574. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Where is Noelle Deckman located?

Noelle Deckman practices at 629 Camino De Los Mares Ste 207A, San Clemente, CA 92673. The listed phone number is (949) 689-3220.

What is Noelle Deckman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Noelle Deckman enrolled in Medicare?

No. Noelle Deckman has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Noelle Deckman was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.