Nova Therapeutic Management LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

NOVA THERAPEUTIC MANAGEMENT LLC

Practice address

4121 Okemos Rd Ste 10
Okemos, MI 48864-3220

Phone

(317) 250-6200

Fax

(314) 667-6915

NPI assigned

Jun 7, 2022

Organization subpart

No

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

Authorized official

Name

Melanie Maycock

Title

Billing Director

Phone

(734) 673-5917

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: melanie@integrativeneurology.us

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1841929619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 OKEMOS RD STE 10",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643220",
            "telephone_number": "317-250-6200",
            "fax_number": "314-667-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 OKEMOS RD STE 10",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643220",
            "telephone_number": "317-250-6200",
            "fax_number": "314-667-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA THERAPEUTIC MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "MAYCOCK",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "734-673-5917"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MELANIE@INTEGRATIVENEUROLOGY.US",
            "affiliation": "N",
            "endpointDescription": "DIRECT EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DIRECT EMAIL",
            "address_1": "4121 Okemos Rd Ste 10",
            "city": "Okemos",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488643220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Northvale LLC
• Northvale LLC
• Northvale LLC
• Northvale LLC
• Charlotte Noto
• Thomas W Novak, FLP
• Ezio Novelli, DDS, MD
• Mary Nowack, PHD
• Gerald Vincent Nowinski, DDS
• Douglas Nunn, D.O.

• Rehabilitation Clinic/Center in Okemos, MI
• Providers in Okemos, MI by specialty
• Rehabilitation Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.