DR. KRYSTAL STUDIVANT NOWAK


Address: 1 Park West Cir Ste 306n, Midlothian, VA 23114-5552
Phone: 8047191955

DR. KRYSTAL STUDIVANT NOWAK (NPI# 1801215066) 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) 1801215066
Entity Type Individual
Full Name DR. KRYSTAL STUDIVANT NOWAK
Credential PSY.D.
Practice Address 1 Park West Cir Ste 306n
Midlothian
VA 23114-5552
Practice Telephone 8047191955
Practice Fax Number 8044209680
Mailing Telephone 8047191955
Mailing Fax Number 8044209680
Enumeration Date 2014-04-15
Last Update Date 2018-09-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
0810005486 VA Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
0810005486 VA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
15521 Midlothian Tpke Ste 105, Midlothian, VA 231137313 8044321550 8044321550
4920 Millridge Pkwy E, Suite 206, Midlothian, VA 231124857 8043709161

Other Providers KRYSTAL NOWAK

NPI Name Taxonomy Address Enumeration
1457849580 Krystal Alice Nowak Case Manager/Care Coordinator 3111 Electric Ave, Port Huron, MI 48060-8127 2018-04-24

Office Location

Street Address 1 PARK WEST CIR STE 306N
City MIDLOTHIAN
State VA
Zip Code 23114-5552

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174122162 Jotava In Home Supportive Care 1607 Titanium Avenue, 202, Midlothian, VA 23114 2020-10-20
1104393735 Shelley Hurwitz Occupational Therapist 13800 Bon Secours Drive, Midlothian, VA 23114 2018-11-01
1316412182 Snehal Manmeet Mahajan Physical Therapist 13800 Bon Secours Dr., Midlothian, VA 23114 2018-10-09
1154814796 Bon Secours St Francis Medical Center Inc. Clinic/Center 13700 St Francis Blvd Ste 105, Midlothian, VA 23114 2018-06-08
1023516630 Leah Reed Occupational Therapist 13800 Bon Secours Dr, Midlothian, VA 23114 2018-01-29
1689122012 Momentum Counseling and Wellness LLC Social Worker 431 Walton Park Road, Midlothian, VA 23114 2016-09-14
1750765996 Arlene Roper Physical Therapy Assistant 1700 Redbourne Ct, Apt 101, Midlothian, VA 23114 2015-07-17
1518353937 Tamaika Floy Podiatrist 611 Watkins Centre Pkwy Ste 170, Midlothian, VA 23114 2015-04-13
1760790489 Markita Wolf Psychologist 831 Grove Rd Ste C, Midlothian, VA 23114 2010-09-15
1306153119 Jacinda Beth Chaisson Physical Therapist 13700 St. Francis Blvd., Suite 103, Midlothian, VA 23114 2010-09-01
Find all providers in zip 23114

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
1699385013 Celeste Macdonald Kelly Psychologist 250 Wylderose Cmns, Midlothian, VA 23113-6883 2020-08-01
1447736806 Kaitlin Elizabeth Bountress Psychologist 15521 Midlothian Tpke Ste 105, Midlothian, VA 23113-7313 2018-07-18
1245675958 Ashley Marie Foresman Psychologist 13901 Coalfield Commons Pl Ste 102, Midlothian, VA 23114-1216 2013-05-08
1952603409 Lindsey Kate Slaughter Psychologist 13321 Diamond Ridge Dr, Midlothian, VA 23112-8340 2010-12-03
1831407824 Lee Saecker Ridens Psychologist 13821 Village Mill Dr Ste B, Midlothian, VA 23114-4314 2010-09-23
1316177041 James R Moon Psychologist 12807 Rossmere Ct, Midlothian, VA 23114-3093 2009-07-15
1821241365 Andrew Charles Cox Psychologist 13354 Midlothian Tpke Ste 200, Midlothian, VA 23113-4258 2008-10-28
1174771737 Melinda Beth Moore Psychologist 15521 Midlothian Turnpike, Suite 105, Midlothian, VA 23114 2008-09-08
1689861247 Mary Hill Bradshaw Psychologist 5715 Saddle Hill Dr, Midlothian, VA 23112-2383 2007-09-27
1952429722 Eric Robert Braen Psychologist 13801 Village Mill Dr Ste 105, Midlothian, VA 23114-4382 2007-03-27
Find all providers in MIDLOTHIAN

Competitor

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City MIDLOTHIAN
Zip Code 23114

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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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