Active NPI
Lisa Novak, PSY.D.
- Psychologist
- Glenview, IL
National Provider Identifier
1770838112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 3633 W Lake Ave
Suite 406
Glenview, IL 60026-5805 - Phone
- (312) 857-6393
- NPI assigned
- Jul 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
3633 W Lake Ave
Suite 406
Glenview, IL 60026-5805
Mailing address
3633 W Lake Ave
Glenview, IL 60026-5805
Phone (312) 857-6393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1770838112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3633 W LAKE AVE",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600265805",
"telephone_number": "312-857-6393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3633 W LAKE AVE",
"address_2": "SUITE 406",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600265805",
"telephone_number": "312-857-6393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-23",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenview, IL
- Northshore University Healthsystem
- Northshore Universtiy Healthsystem
- Northwestern Medical Faculty Foundation
- Northwestern Medical Faculty Foundation
- Northwestern Memorial Hospital
- Kristian R. Novakovic, MD
- Nancy R Novotny, M.D.
- Novus Counseling Collaborative, LLC
- Susan L Nowak, COTA/L
- Bruce Noxon, D.P.M.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.