DR. JACK NOVICK


Address: 617 Stratford Dr, Ann Arbor, MI 48104-2745
Phone: 7346656745

DR. JACK NOVICK (NPI# 1710158928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710158928
Entity Type Individual
Full Name DR. JACK NOVICK
Credential PH.D
Practice Address 617 Stratford Dr
Ann Arbor
MI 48104-2745
Practice Telephone 7346656745
Practice Fax Number 7346652875
Mailing Telephone 7346656745
Mailing Fax Number 7346652875
Enumeration Date 2008-03-14
Last Update Date 2008-03-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TA0700X Psychologist
Specialization: Adult Development & Aging
002202 MI Behavioral Health & Social Service Providers
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
002202 MI Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
002202 MI Behavioral Health & Social Service Providers
N 103TC1900X Psychologist
Specialization: Counseling
002202 MI Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
002202 MI Behavioral Health & Social Service Providers
N 103TF0000X Psychologist
Specialization: Family
002202 MI Behavioral Health & Social Service Providers
N 102L00000X Psychoanalyst 002202 MI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI BLUE CROSS 0HI45566 01

Office Location

Street Address 617 STRATFORD DR
City ANN ARBOR
State MI
Zip Code 48104-2745

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174794382 Kerry Kelly Novick Psychoanalyst 617 Stratford Dr, Ann Arbor, MI 48104-2745 2008-03-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336603927 Julie Corey Counselor 2604 Brockman Blvd, Ann Arbor, MI 48104 2019-01-28
1003301045 Ann Arbor Pharmacy LLC Pharmacy 2418 E Stadium Blvd, Ann Arbor, MI 48104 2018-06-22
1811499304 Melissa L Wright Physical Therapist 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 2018-03-01
1689180226 Walgreen Co Durable Medical Equipment & Medical Supplies 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 2017-12-19
1861911547 Jonathen Ross Social Worker 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 2017-09-14
1275058521 Emily Lauren Hanna Social Worker 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 2017-08-08
1073035457 Raynaldo Juaquin Valdez Specialist/Technologist 500 E. Hoover Ave, Ann Arbor, MI 48104 2017-07-07
1912436908 Alison Nicole Tseng Dentist 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 2017-06-05
1528593183 Hillary Baldwin Steller, Lmsw,llc Social Worker 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 2017-04-20
1013360973 Teresa Myers Massage Therapist 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 2016-07-15
Find all providers in zip 48104

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053925685 Davia Steinberg Ogg, Ph.d., LLC Psychologist 300 N 5th Ave Ste 200, Ann Arbor, MI 48104-1447 2020-09-01
1730798794 Joshua Kay Psychologist 308 Arbana Dr, Ann Arbor, MI 48103-3706 2020-07-27
1295344216 Aaron Sedlar Psychologist 2500 Packard St Ste 104a, Ann Arbor, MI 48104-6827 2020-07-27
1992320071 Gohar Psychological Services, Pllc Psychologist 321 S Main St Ste 212, Ann Arbor, MI 48104-2128 2020-06-15
1578187688 Richard Reinsmith Psychologist 1420 Iroquois Pl, Ann Arbor, MI 48104-4638 2020-06-04
1063991594 Abadi Psychology, Pllc Psychologist 2350 Washtenaw Ave Ste 7, Ann Arbor, MI 48104-4525 2018-08-07
1982196523 Karen Gottschalk Psychotherapy Psychologist 2350 Washtenaw Ave Ste 7g, Ann Arbor, MI 48104-4532 2018-05-30
1386133973 Judy Seldin Psychotherapy, Plc Psychologist 2350 Washtenaw Ave Ste 7e, Ann Arbor, MI 48104-4532 2018-05-09
1356839351 Adam Lafave Psychologist 3830 Packard St Ste 280, Ann Arbor, MI 48108-2276 2018-04-25
1841797941 Integrated Counseling LLC Psychologist 2311 E Stadium Blvd Ste B5, Ann Arbor, MI 48104-4803 2018-04-06
Find all providers in ANN ARBOR

Competitor

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City ANN ARBOR
Zip Code 48104

Improve Information

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Dataset Information

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.

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