Individual provider Active NPI

Denise D. Novaky, PH.D.

  • Psychologist
  • Hackettstown, NJ
National Provider Identifier
1396802278
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2768 Issued in NJ
Practice address
116 High Street
Hackettstown, NJ 07840-1937
Phone
(908) 813-2455
Fax
(908) 813-2403
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2768 NJ Primary

Addresses

Primary practice location

116 High Street
Hackettstown, NJ 07840-1937

Mailing address

116 High Street
Hackettstown, NJ 07840-1937
Phone (908) 813-2455

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
I20170119001934 NJ Practitioner - Clinical Psychologist 6406834134 Practice locations: Hackettstown, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

699 Washington St
Suite 101
Hackettstown, NJ 07840-2260
Phone (908) 813-2455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2768NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Budd Therapy Group,LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396802278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 HIGH STREET",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401937",
            "telephone_number": "908-813-2455",
            "fax_number": "908-813-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 HIGH STREET",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401937",
            "telephone_number": "908-813-2455",
            "fax_number": "908-813-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAKY",
        "first_name": "DENISE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "2768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.