Organization Active NPI

Novis Initiis Psychotherapy PLLC

  • Psychologist
  • Vancouver, WA
National Provider Identifier
1770415960
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
NOVIS INITIIS PSYCHOTHERAPY PLLC
Practice address
717 NE 61St St Ste 206
Vancouver, WA 98665-8753
Phone
(720) 295-5853
Fax
(866) 466-5083
NPI assigned
Jun 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Dr. Douglas Allan Graves, PSYDNPI 1952535437
Title
Psychologist / Co-Owner
Phone
(720) 295-5853

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
PsychoanalystGroup: 193200000X MULTI-SPECIALTY GROUP 102L00000X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X

Addresses

Primary practice location

717 NE 61St St Ste 206
Vancouver, WA 98665-8753

Mailing address

PO Box 1864
Vancouver, WA 98668-1864
Phone (720) 295-5853

National Provider Directory

National Provider Directory

Locations

717 NE 61st St
Ste 206
Vancouver, WA 98665
Phone (720) 295-5853

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1770415960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1864",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986681864",
            "telephone_number": "720-295-5853",
            "fax_number": "866-466-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 NE 61ST ST STE 206",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658753",
            "telephone_number": "720-295-5853",
            "fax_number": "866-466-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVIS INITIIS PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST / CO-OWNER",
        "authorized_official_telephone_number": "720-295-5853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.