Novum Psychotherapy, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

9289374-2501 Issued in UT

Legal business name

NOVUM PSYCHOTHERAPY, PC

Practice address

275 E South Temple Ste 150
Salt Lake City, UT 84111-1270

Phone

(314) 398-2351

Fax

(801) 853-8237

NPI assigned

Jan 4, 2018

Last updated

Jan 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Joseph Lewis, PSYDNPI 1275846412

Title

Owner/Licensed Psychologist

Phone

(314) 398-2351

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Joseph Lewis, PSYD

  • Psychologist
  • Salt Lake City, UT
  • NPI 1275846412
  Medicare reassignment Authorized official
• Adam K Fuller, PH.D.

  • Clinical Psychologist
  • Evanston, WY
  • NPI 1255476131
  NPD
• Pamela R Fuller, PHD

  • Psychologist
  • Evanston, WY
  • NPI 1053469452
  NPD
• Joshua G Clauson, PSY.D.

  • Clinical Psychologist
  • Salt Lake City, UT
  • NPI 1255540977
  NPD (past)

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1437666054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E SOUTH TEMPLE APT 8C",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021272",
            "telephone_number": "314-398-2351",
            "fax_number": "801-853-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 E SOUTH TEMPLE STE 150",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111270",
            "telephone_number": "314-398-2351",
            "fax_number": "801-853-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVUM PSYCHOTHERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "314-398-2351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "9289374-2501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275846412",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph J. Novak, MD
• Kali Novak
• Peter J Novak, MD
• Alfredo Daniel Novoa
• Maria Camila Novoa, DDS
• Christina Nowaczewski
• Ashley Nowak
• Suzann Sutton Nowels, LCSW
• Reed Christopher Noyd
• Brigg Bromley Noyes, PHD

• Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.