Active NPI
Mary Jane Novi, PSY.D
- Clinical Psychologist
- Sun City West, AZ
National Provider Identifier
1013996040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3850
- Practice address
- 13307 W Paintbrush Dr
Sun City West, AZ 85375 - Phone
- (215) 287-2116
- NPI assigned
- Jan 9, 2006
- Last updated
- Oct 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS006016L | PA | |
| Clinical Psychologist | 103TC0700X | 3850 | AZ | Primary |
Addresses
Primary practice location
13307 W Paintbrush Dr
Sun City West, AZ 85375
Mailing address
13307 W Paintbrush Dr
Sun City West, AZ 85375-2531
Phone (215) 287-2116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 413429 | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS006016L | PA | MD | Clinical Psychologist |
| 3850 | AZ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1013996040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13307 W PAINTBRUSH DR",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853752531",
"telephone_number": "215-287-2116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13307 W PAINTBRUSH DR",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "85375",
"telephone_number": "215-287-2116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVI",
"first_name": "MARY JANE",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS006016L",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "3850",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "413429",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sun City West, AZ
- North County Fire & Medical District (Arizona Fire and Medical Authority)
- Northwest Orthopedic & Sports Physical Therapy LLC
- Northwest Women's Care
- Novaspine Pain Institute, PLC
- Novaspine Pain Institute, PLC
- Alexandria Nowaczyk, D.O.
- NP Plus, LLC (Arcadia Home Care & Staffing)
- Kristian Angelo Dumelod Oarde, DNP, FNP-C
- Nally Oteng Ofosu Budu, PA-C
- Daniel William Ohmes, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.