Jeremy Novich, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

021337 Issued in NY

Practice address

345 7TH Ave
Suite 1201D
New York, NY 10001-5006

Phone

(917) 727-7792

NPI assigned

Nov 19, 2015

Last updated

Oct 30, 2016By the provider in NPPES

Sex

Male

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

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.

Opted out of Medicare

Previously, effective Oct 7, 2020 through Oct 7, 2026

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477785600000",
    "number": "1639543283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 7TH AVE",
            "address_2": "1201D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015006",
            "telephone_number": "917-727-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 7TH AVE",
            "address_2": "SUITE 1201D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015006",
            "telephone_number": "917-727-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVICH",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-19",
        "last_updated": "2016-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Marie Novello
• Paul Novello, LCSW
• Paulette Rita Novembre-Novotny, R.D.
• Cassandre Antoinette Novembre, MSED
• Danielle Novetsky Friedman, MD
• Jenna Rose Novick, CF-SLP
• Nelson Lee Novick, MD
• Sue Ellen Novick, MHC
• Yelena Novik, MD
• Zorina Novik, RPH

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.