Nova Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301011759 Issued in MI

Legal business name

NOVA PSYCHOLOGICAL SERVICES

Practice address

16676 Festian Dr
Clinton Township, MI 48035-2231

Phone

(313) 719-1649

Fax

(586) 792-2951

NPI assigned

Apr 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Rosalynn Marie Moten-Travis, PH.D.

Title

Clinical Director

Phone

(313) 719-1649

Specialties & licenses 1

Addresses

Tax ID family

Nova Psychological Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nova Psychological Services

  • Clinical Psychologist
  • Troy, MI
  • NPI 1649600941
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rosalynn Marie Moten, PH.D.

  • Clinical Psychologist
  • Troy, MI
  • NPI 1134384274
  NPD

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1235373374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16676 FESTIAN DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352231",
            "telephone_number": "313-719-1649",
            "fax_number": "586-792-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16676 FESTIAN DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352231",
            "telephone_number": "313-719-1649",
            "fax_number": "586-792-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "MOTEN-TRAVIS",
        "authorized_official_first_name": "ROSALYNN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "313-719-1649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301011759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nordstrom Inc & Subsidiaries
• John B Nori, DO
• Deonta Lamar Norman
• Rene Nota, PHD
• Jennifer Lynn Noth
• Jasmine Novak
• Rebecca Nowak, LMSW
• Barbara Nowakowski, R.N.
• Kristen Nowland, LLMSW
• Nuch of Michigan Inc

• Psychologist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.