DR. MICHAEL NORMAN DIVAK (NPI# 1508284704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508284704 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL NORMAN DIVAK |
| Other Name | MICHAEL N. DIVAK |
| Credential | PH.D. |
| Practice Address |
66 Montgomery St Ste 2 Canajoharie NY 13317-1212 |
| Practice Telephone | 5186736001 |
| Practice Fax Number | 5186736033 |
| Mailing Telephone | 5186736001 |
| Mailing Fax Number | 5186736033 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2018-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
021046-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NEW YORK STATE OFFICE OF PROFESSION | 021046 | 01 |
| NY | LICENSE PSYCHOLGIST | 021046 | 01 |
| Street Address |
66 MONTGOMERY ST STE 2 |
| City | CANAJOHARIE |
| State | NY |
| Zip Code | 13317-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679054167 | Dr Michael Divak Psychologist | Psychologist | 66 Montgomery St Ste 2, Canajoharie, NY 13317-1212 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578085205 | Stephanie Lynn Voght | Acupuncturist | 126 Seebers Lane, Canajoharie, NY 13317 | 2017-07-14 |
| 1699844779 | Martin Anthony Sorbero | Dentist | 66 Montgomery Street, Canajoharie, NY 13317 | 2006-11-06 |
| 1750332805 | Kenneth D Riley | Family Medicine | 50 Montgomery St, Canajoharie, NY 13317 | 2006-05-13 |
| 1346500113 | St. Mary's Healthcare | Family Medicine | 48 Erie Blvd, Canajoharie, NY 13317 | 2012-05-25 |
| 1194864470 | Rita Monica O'neill | Nurse Practitioner | 48 Erie Blvd, St. Mary's Hospital, Canajonarie Family Health Center, Canajonarie, NY 13317 | 2007-02-05 |
| 1992782312 | Federico Colores | Emergency Medicine | 101 W Main St, Canajoharie, NY 13317 | 2005-12-28 |
| 1952377871 | Mid-county Volunteer Ambulance Service, Inc. | Ambulance | 11 Erie Blvd, Canajoharie, NY 13317-1107 | 2006-02-28 |
| 1528069572 | Joanne Hirst | Nurse Practitioner | 101 W Main St, St. Mary's Family Health Ctr. At Canajoharie, Canajoharie, NY 13317-1114 | 2005-08-02 |
| 1427100486 | Carol Ann Balfe | Optometrist | 70 Erie Blvd, Canajoharie, NY 13317-1133 | 2007-01-18 |
| 1598767048 | Paul Gerald Comber | Pediatrics | 48 Erie Blvd., Canajoharie Health Center, Canajoharie, NY 13317-1133 | 2005-08-15 |
| Find all providers in zip 13317 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689095374 | York Psychology, P.l.l.c. | Psychologist | 66 Montgomery St, Canajoharie, NY 13317-1212 | 2013-12-23 |
| 1679054167 | Dr Michael Divak Psychologist | Psychologist | 66 Montgomery St Ste 2, Canajoharie, NY 13317-1212 | 2018-08-23 |
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| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
| 1558968842 | Ethan Eisen | Psychologist | 107 Lakeside Dr E, Lawrence, NY 11559-1718 | 2020-10-08 |
| 1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
| 1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | CANAJOHARIE |
| Zip Code | 13317 |
Please comment or provide details below to improve the information on DR. MICHAEL NORMAN DIVAK.
| 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.