Individual provider Active NPI

Catherine Wolpert Novas, MD

  • Pediatric Neurodevelopmental Disabilities Physician
  • Lake Forest, IL
National Provider Identifier
1043617137
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X
License
036101488 Issued in IL
Practice address
280 S Green Bay Rd
Lake Forest, IL 60045-3056
Phone
(847) 235-2510
NPI assigned
Dec 4, 2014
Last updated
Dec 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X 036101488 IL Primary

Addresses

Primary practice location

280 S Green Bay Rd
Lake Forest, IL 60045-3056

Mailing address

280 S Green Bay Rd
Lake Forest, IL 60045-3056
Phone (847) 235-2510

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036101488ILMDPediatric Neurodevelopmental Disabilities Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1043617137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S GREEN BAY RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600453056",
            "telephone_number": "847-235-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S GREEN BAY RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600453056",
            "telephone_number": "847-235-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAS",
        "first_name": "CATHERINE",
        "middle_name": "WOLPERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "IL",
            "license": "036101488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.