Kristen Nowak, ED.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

OH3053557 Issued in OH

Practice address

407 Decatur St
Sandusky, OH 44870-2442

Phone

(419) 984-1053

NPI assigned

Feb 10, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sandusky City School District

  • Local Education Agency (LEA)
  • Sandusky, OH
  • NPI 1740487388
  NPD (past)

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1346664430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 DECATUR ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448702442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 DECATUR ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448702442",
            "telephone_number": "419-984-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "KRISTEN",
        "name_prefix": "Ms.",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "OH3053557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Ohio Psychological Services, Inc.
• Northern Ohio Surgical Center
• Amanda Notestine, M.A. CCC-SLP
• Dale Carl Novak I, O.D.
• Christine Annehope Nowak Lange, LPN
• Brandy Nuhfer
• O E Meyer Co
• O E Meyer Co
• Karl L Oberer, DO
• Laura J Obergefell, N.P.-C

• School Psychologist in Sandusky, OH
• Providers in Sandusky, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.