Roberta Ann Novo, MA,MFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

109718 Issued in CA

Practice address

4750 Quail Lakes Drive, Suite C-2
Stockton, CA 95207

Phone

(209) 986-7170

Fax

(209) 786-7170

NPI assigned

Jul 1, 2015

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1598148165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 QUAIL LAKES DR STE C-2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075274",
            "telephone_number": "209-986-7170",
            "fax_number": "209-786-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 QUAIL LAKES DRIVE, SUITE C-2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95207",
            "telephone_number": "209-986-7170",
            "fax_number": "209-786-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVO",
        "first_name": "ROBERTA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA,MFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ehab M Nouged
• Firas Nour
• Nov Pershing LLC (Camlu Assisted Living)
• Sina Nov
• Breanna Novelo
• Amanda Lizeth Novoa
• Evelyn V Novoa
• Stephen Nobuo Nozaki, DDS
• Sango Nozawa-Auclair
• Alyssa Sarena Nueno-Topacio

• Marriage & Family Therapist in Stockton, CA
• Providers in Stockton, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.