Susan Joy Novak, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY22415 Issued in CA

Practice address

23832 Rockfield Blvd
Ste 130
Lake Forest, CA 92630-2860

Phone

(949) 297-6680

Fax

(949) 861-6321

NPI assigned

Dec 20, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Susan Joy Griffin Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South County Psychological, Inc.

  • Adult Mental Health Clinic/Center
  • Lake Forest, CA
  • NPI 1346585908
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1093084162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23832 ROCKFIELD BLVD",
            "address_2": "STE 130",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302860",
            "telephone_number": "949-297-6680",
            "fax_number": "949-830-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23832 ROCKFIELD BLVD",
            "address_2": "STE 130",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302860",
            "telephone_number": "949-297-6680",
            "fax_number": "949-861-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "SUSAN",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "GRIFFIN",
            "middle_name": "JOY",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sean T Nguyen, DDS
• Farhad Ghasemi Nikoo, NP
• Manshaa Nischal
• Jack Nolan
• Bobby Babak Nourani, D.O.
• Jacoby Novotny
• O Farrukh, Inc a Medical Corporation
• Colleen O'Connor, CRNA
• Cindy Guadalupe Oakley
• Oc Executive Transportation Inc

• Clinical Psychologist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.