MR. ALLEN NOVAK (NPI# 1174528509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174528509 |
| Entity Type | Individual |
| Full Name | MR. ALLEN NOVAK |
| Credential | A.P.R.N. |
| Practice Address |
122 Haili St Hilo HI 96720-2804 |
| Practice Telephone | 8089349071 |
| Practice Fax Number | 8089349071 |
| Mailing Telephone | 8089349071 |
| Mailing Fax Number | 8089349071 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2007-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
422-91 | HI | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
RN-20223 | HI | Behavioral Health & Social Service Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN-20223 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
RN-20223 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 544925 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548260540 | Allen C Novak | Pharmacist | 355 Tamarack Ave, Apt H, Carlsbad, CA 92008-4067 | 2005-08-01 |
| Street Address |
122 HAILI ST |
| City | HILO |
| State | HI |
| Zip Code | 96720-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306886585 | John Adam Heaster | Psychiatry & Neurology | 122 Haili St, Hilo, HI 96720-2804 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821032459 | Beth Ananda-stout | Clinical Nurse Specialist | 891 Ululani St Ste 205, Hilo, HI 96720-3982 | 2006-06-15 |
| 1952860611 | Insight Therapeia LLC | Clinical Nurse Specialist | 891 Ululani St Ste 205, Hilo, HI 96720-3982 | 2019-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902241185 | The Divine Guide L.L.C. | Clinical Nurse Specialist | 47-108 Hui Kelu Pl, Kaneohe, HI 96744-4617 | 2013-05-01 |
| 1588782973 | Betty J Kohal | Clinical Nurse Specialist | 6600 Kalanianaole Hwy, Suite 225, Honolulu, HI 96825-1273 | 2007-03-26 |
| 1528151453 | Lisette S. Blumhardt | Clinical Nurse Specialist | 1441 Kapiolani Blvd Fl 16, Honolulu, HI 96814-4402 | 2006-10-02 |
| 1427141969 | Carolyn W. Mau | Clinical Nurse Specialist | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2006-10-02 |
| 1790878296 | Cassandra M. Tokoro | Clinical Nurse Specialist | 1441 Kapiolani Blvd Fl 16, Honolulu, HI 96814-4402 | 2006-10-02 |
| 1962505339 | Sara R Silverman | Clinical Nurse Specialist | 6600 Kalanianaole Hwy, #225, Honolulu, HI 96825-1281 | 2006-09-07 |
| 1205890100 | Ruby F Igarashi | Clinical Nurse Specialist | 459 Patterson Rd, Vapihcs, Honolulu, HI 96819-1522 | 2006-04-17 |
Please comment or provide details below to improve the information on MR. ALLEN NOVAK.
| 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.