Active NPI
Lisa Novak, Nurse Practitioner in Psychiatry, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Yonkers, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F401402
- Legal business name
- LISA NOVAK, NURSE PRACTITIONER IN PSYCHIATRY, PLLC
- Practice address
- 35 E Grassy Sprain Rd Ste 304B
Yonkers, NY 10710-4618 - Phone
- (914) 771-4009
- Fax
- (914) 771-4110
- NPI assigned
- Oct 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Novak, DNP, NPP-BC
- Title
- Nurse Practitioner
- Phone
- (914) 771-4009
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F401402 | NY | Primary |
Addresses
Primary practice location
35 E Grassy Sprain Rd Ste 304B
Yonkers, NY 10710-4618
Mailing address
1585 Central Park Ave Unit 25
Yonkers, NY 10710-7402
Phone (914) 771-4009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2172882 | Lisa Novak Nurse Practitioner in Psychiatry, PLLC | Certificate of waiver | Sep 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
35 E Grassy Sprain Rd
Ste 304B
Yonkers, NY 10710
Phone (914) 771-4009
1585 Central Park Ave
Unit 25
Yonkers, NY 10710
35 E Grassy Sprain Rd
Ste 3LL
Yonkers, NY 10710
Phone (914) 337-4367
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Yonkers, NY
- NPI 1124329537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733788800000",
"number": "1811409386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1585 CENTRAL PARK AVE UNIT 25",
"city": "YONKERS",
"state": "NY",
"postal_code": "107107402",
"telephone_number": "914-771-4009",
"fax_number": "914-771-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 E GRASSY SPRAIN RD STE 304B",
"city": "YONKERS",
"state": "NY",
"postal_code": "107104618",
"telephone_number": "914-771-4009",
"fax_number": "914-771-4110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA NOVAK, NURSE PRACTITIONER IN PSYCHIATRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-24",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A",
"authorized_official_last_name": "NOVAK",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "914-771-4009",
"authorized_official_credential": "DNP, NPP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F401402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.