Novation Behavioral Health, LLC

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

Legal business name

NOVATION BEHAVIORAL HEALTH, LLC

Practice address

1707 E Bay Ave
Newport Beach, CA 92661-1453

Phone

(949) 734-9671

NPI assigned

Jul 20, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reuben Leroy Sutter, MD

Title

Medical Director

Phone

(949) 626-5040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1952824021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 E BAY AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926611453",
            "telephone_number": "949-734-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 E BAY AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926611453",
            "telephone_number": "949-734-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVATION BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SUTTER",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-626-5040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Psychiatry Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Addiction Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.