DR. GERALD JORDAN NOVACK (NPI# 1548602923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548602923 |
| Entity Type | Individual |
| Full Name | DR. GERALD JORDAN NOVACK |
| Credential | PHD. |
| Practice Address |
96mdos/sgow 307 Boatner Rd Fpo AP 32542 |
| Mailing Address |
19 7th St Unit 2 Shalimar FL 32579-2174 |
| Practice Telephone | 8508838374 |
| Mailing Telephone | 7657023884 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
96MDOS/SGOW 307 BOATNER RD |
| City | FPO |
| State | AP |
| Zip Code | 32542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417440306 | Colt Sicher | Student in an Organized Health Care Education/Training Program | 96th Dental Squadron (afmc), Eglin Afb, Fl 32542, Apo, AA 32542 | 2018-06-14 |
| 1841679529 | Matthew Scurria | Dentist | 340 Boatner Rd. Bldg 2751, 96 Dental Squadron/sgdr, Eglin Afb, FL 32542 | 2015-05-27 |
| 1134518798 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 3120 A. Talon Way, Eglin Afb Fld #3, FL 32542 | 2015-01-20 |
| 1598177123 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 96 Medical Group Satellite Phcy Memorial Trail, Bldg. 1758, Eglin Afb, FL 32542 | 2014-06-02 |
| 1699112821 | Taylor Anne Hahn | Obstetrics & Gynecology | 96th Medical Group, 307 Boatner Road, Eglin Air Force Base, FL 32542 | 2013-05-29 |
| 1730456948 | Nicholas Brandon Sager | Dentist | 340 Boatner Rd, Eglin Afb, Apo, AA 32542 | 2011-11-17 |
| 1134402662 | Jessamy Jae Thornton | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Bldg 2751, Eglin Afb, FL 32542 | 2011-09-21 |
| 1346523974 | Mary Elizabeth Sorrentino | Dentist | 340 Boatner Road, Blgd. 2751, Eglin Afb, FL 32542 | 2011-09-20 |
| 1588945612 | Martin Army Community Hospital | Clinic/Center | 4327 North El Salvador Way, Eglin Afb, FL 32542 | 2011-09-02 |
| 1144516287 | Russell David Bienias | Dentist | 96th Dental Squadron (afmc), Eglin Afb, FL 32542 | 2011-06-28 |
| Find all providers in zip 32542 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467601880 | Angela Nicole Rood | Psychologist | Psc 475 Box 1322, Fpo, AP 96350-9998 | 2008-09-09 |
| 1003246497 | John Knorek | Psychologist | Psc 482 Box 1600, Fpo, AP 96362-9998 | 2013-11-20 |
| 1043644032 | Nausheen Momen | Psychologist | Psc 475, Box 1, Fpo, AP 96350-9998 | 2013-08-26 |
| 1629301254 | Michael E. Domery | Psychologist | Psc 482, Fpo, AP 96362-9998 | 2009-09-15 |
| 1518942770 | Mark Charles Russell | Psychologist | Usnh Yokosuka Japan, Psc 475 Box 1, Fpo, AP 96350 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851335400 | John Batka | Psychologist | 18 Mdos/sgow Mental Health Services, Unit 5269, Apo, AP 96368-5269 | 2006-06-15 |
| 1528057049 | Daniel Thomas Murphy | Psychologist | 18th Medical Group, Bidg 626, Unit 5142, Apo, AP 96368-5142 | 2005-10-18 |
| 1386093680 | Pamela Holtz | Psychologist | 121 Brian Allgood Hospital, Unit 15281, Apo, AP 96205 | 2016-06-07 |
| 1215338249 | Chelsae Roby Pistello | Psychologist | 51 Mdg, Unit 2060, Apo, AP 96278-2060 | 2014-09-09 |
| 1740564426 | Robyn Donaldson | Psychologist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2011-09-29 |
| 1144559998 | Laura Johnson | Psychologist | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2009-12-08 |
| 1447483599 | Steven Dean Jacobson | Psychologist | 18th Medical Group, Apo, AP 96368-5142 | 2009-08-24 |
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| 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.