Active NPI
Gregory Novie, PHD
- Psychologist
- Tempe, AZ
National Provider Identifier
1962652008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1207
- Practice address
- 2120 S Rural Rd
Tempe, AZ 85282-1400 - Phone
- (602) 576-5000
- Fax
- (602) 707-7571
- NPI assigned
- Sep 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 1207 | AZ | Primary |
Addresses
Primary practice location
2120 S Rural Rd
Tempe, AZ 85282-1400
Mailing address
PO Box 23869
Tempe, AZ 85285-3869
Phone (602) 576-5000
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1207 | AZ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310688000000",
"number": "1962652008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23869",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852853869",
"telephone_number": "602-576-5000",
"fax_number": "602-707-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 S RURAL RD",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852821400",
"telephone_number": "602-576-5000",
"fax_number": "602-707-7571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVIE",
"first_name": "GREGORY",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-25",
"last_updated": "2011-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "1207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.