DR. SANDRA L NOVAK (NPI# 1457457251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457457251 |
| Entity Type | Individual |
| Full Name | DR. SANDRA L NOVAK |
| Credential | PSY.D. |
| Practice Address |
15300 West Ave Suite 313 W. Orland Park IL 60462-4600 |
| Mailing Address |
12251 S 80th Ave Suite 1630 Palos Heights IL 60463-1256 |
| Practice Telephone | 7089237878 |
| Practice Fax Number | 7089237888 |
| Mailing Telephone | 7089235173 |
| Mailing Fax Number | 7089235018 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2017-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071008889 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | F400210383 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356816607 | Sandra Moxley Novak | Social Worker | 915 Middle River Dr Ste 103b, Ft Lauderdale, FL 33304-3584 | 2018-10-12 |
| 1225352412 | Sandra J Novak | Counselor | 1480 Lee Hill Rd Unit 7, Boulder, CO 80304-0872 | 2010-03-17 |
| Street Address |
15300 WEST AVE SUITE 313 W. |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60462-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902804628 | John G Hohner | Neuromusculoskeletal Medicine & OMM | 15300 West Ave, Orland Park, IL 60462-4600 | 2005-07-07 |
| 1508463969 | Brianna Panka | Social Worker | 15300 West Ave, Orland Park, IL 60462-4600 | 2020-10-07 |
| 1275157133 | Lauren Renee Zuro | Dietitian, Registered | 15300 West Ave, Orland Park, IL 60462-4600 | 2020-06-05 |
| 1942751664 | Michelle Marie Hartnett | Physician Assistant | 15300 West Ave, Suite 20 South, Orland Park, IL 60462-4600 | 2016-10-18 |
| 1003295338 | Andrea Jean Moormann | Occupational Therapist | 15300 West Ave, West Bldg., Suite 310, Orland Park, IL 60462-4600 | 2015-05-19 |
| 1073909123 | Eugenia Kyriakopoulos | Family Medicine | 15300 West Ave, Orland Park, IL 60462 | 2015-04-15 |
| 1962892232 | Mary A Merlo | Nurse Practitioner | 15300 West Ave, Orland Park, IL 60462-4600 | 2015-01-26 |
| 1063814796 | Oral & Maxillofacial Surgery of Chicago | Dentist | 15300 West Ave, Orland Park, IL 60462-4600 | 2014-09-25 |
| 1881008472 | Robin Lee Gallardi | Dentist | 15300 West Ave, Suite 113, Orland Park, IL 60462-4600 | 2014-06-11 |
| 1275954117 | Mary T Rhodes I | Nurse Practitioner | 15300 West Ave, Orland Park, IL 60462-4600 | 2013-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083257331 | Stephanie Slager | Behavioral Analyst | 8430 W 135th St., Orland Park, IL 60462 | 2019-10-18 |
| 1730652587 | Nancy Lynch | Speech-Language Pathologist | 15100 S 94th Ave Orland School District 135, Orlond Park, IL 60462 | 2019-01-04 |
| 1932681327 | Alyssa Avant | Speech-Language Pathologist | 8851 W 151st St, Orland Park, IL 60462 | 2018-08-31 |
| 1922588110 | Pain Specialists of Greater Chicago S C | Pain Medicine | 15300 West Ave Ste C213, Orland Park, IL 60462 | 2018-08-16 |
| 1689168478 | S- R&r Counseling Inc. | Counselor | 9750 Crescent Park Cir Unit 306, Orland Park, IL 60462 | 2018-06-15 |
| 1104372952 | Amy Blanks | Nurse Anesthetist, Certified Registered | 13959 95th Avenue, Orland Park, IL 60462 | 2016-08-31 |
| 1740632454 | Anna S Wang | Optometrist | 14494 John Humphrey Dr, Orland Park, IL 60462 | 2016-07-06 |
| 1750739793 | Carolyn Sluis | Pharmacist | 9352 W 159th Street, Orland Park, IL 60462 | 2016-06-01 |
| 1164882262 | Caring Hands Group Home of Il, Inc. | Community/Behavioral Health | 14475 John Humphrey Dr., Orland Park, IL 60462 | 2016-03-02 |
| 1639539760 | Frazierworks Community Care, Inc. | In Home Supportive Care | 14475 John Humphrey Dr Suite 300, Orland Park, IL 60462 | 2016-03-02 |
| Find all providers in zip 60462 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942648761 | Insightful Solutions PC | Psychologist | 10310 Orland Pkwy, Suite 201, Orland Park, IL 60467-5628 | 2013-06-14 |
| 1306104443 | Michele Louise Ferraro | Psychologist | 9439 W 144th Pl, Orland Park, IL 60462-2543 | 2012-04-26 |
| 1821244492 | Abdul Basit | Psychologist | 15020 Ravinia Ave, Suite 29, Orland Park, IL 60462 | 2008-08-14 |
| 1174736821 | Newsome & Associates, Ltd. | Psychologist | 200 Ravinia Pl, Orland Park, IL 60462-3755 | 2007-05-08 |
| 1619098282 | Terri Christiansen, Ph.d., Ltd. | Psychologist | 11903 Cormoy Ln, Orland Park, IL 60467-8539 | 2007-04-02 |
| 1922131622 | Victoria Reid | Psychologist | 15255 S 94th Ave, Ste 500, Orland Park, IL 60462-3895 | 2007-03-13 |
| 1285766535 | Dr. Amy Suszko Brown | Psychologist | 9601 West 165th Street, Suite 6, Orland Park, IL 60467 | 2007-03-12 |
| 1194863951 | Nina Gritzalis | Psychologist | 14716 Holly Ct, Orland Park, IL 60462-3164 | 2007-02-02 |
| 1861540361 | Mickey J. Morgan | Psychologist | 14425 Mason Ln, Orland Park, IL 60462-2662 | 2007-01-08 |
| 1790861664 | Eugene Paul Holmes | Psychologist | 1800 Ravinia Pl, Orland Park, IL 60462-3761 | 2006-10-31 |
| Find all providers in ORLAND PARK | ||||
| City | ORLAND PARK |
| Zip Code | 60462 |
Please comment or provide details below to improve the information on DR. SANDRA L NOVAK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.