Kevin Novotny, PSY.D. ;M.B.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180-004381 Issued in IL

Practice address

7100 W Camino Real
Suite 123
Boca Raton, FL 33433-5510

Phone

(561) 901-3660

Fax

(561) 391-5054

NPI assigned

Feb 9, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1164754537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W CAMINO REAL",
            "address_2": "SUITE 123",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335510",
            "telephone_number": "561-901-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W CAMINO REAL",
            "address_2": "SUITE 123",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335510",
            "telephone_number": "561-901-3660",
            "fax_number": "561-391-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOTNY",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "PSY.D. ;M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-004381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hunter Robin Novak, DC
• Mark Novak, LMHC
• Stephen Paul Novak, DMD
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• Novavision Therapy, Inc.
• Luana Cavalli Nowakowski
• NRG Clinic LLC
• NSJ Dental PA
• Nuclear Studies of South Florida,P.a.
• Michelle Nudel

• Mental Health Counselor in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.