Individual provider Active NPI

Michael Leonard Nover, PH.D.

  • Psychologist
  • Freehold, NJ
National Provider Identifier
1326196551
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35S100275100 Issued in NJ
Practice address
75 W Main St
Freehold, NJ 07728-2114
Phone
(732) 431-3000
Fax
(732) 431-3037
NPI assigned
Jan 5, 2007
Last updated
Dec 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35S100275100 NJ Primary

Addresses

Primary practice location

75 W Main St
Freehold, NJ 07728-2114

Mailing address

133 Franklin Corner Rd Ste 2
Lawrenceville, NJ 08648-2531
Phone (732) 431-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20050525000412 NJ Practitioner - Clinical Psychologist 3779525282 Reassigns benefits to 1 organization
Practice locations: Freehold, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

133 Franklin Corner Rd
Suite 2
Lawrence TWP, NJ 08648-2531
Phone (732) 431-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35S100275100NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nover Psychological Services, LLC CurrentSince Feb 16, 2016 Accepting new patients

Locations

75 W Main St
Freehold, NJ 07728
Phone (732) 431-3000

133 Franklin Corner Rd
Ste 2
Lawrenceville, NJ 08648
Phone (609) 406-1754

134 Franklin Corner Rd
Ste 102
Lawrenceville, NJ 08648
Phone (609) 896-0740

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1326196551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 FRANKLIN CORNER RD STE 2",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482531",
            "telephone_number": "732-431-3000",
            "fax_number": "609-406-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282114",
            "telephone_number": "732-431-3000",
            "fax_number": "732-431-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVER",
        "first_name": "MICHAEL",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100275100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.