CARLY NOVAK (NPI# 1669750535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669750535 |
| Entity Type | Individual |
| Full Name | CARLY NOVAK |
| Credential | PSY.D. |
| Practice Address |
4801 W Peterson Ave Ste 601 Chicago IL 60646 |
| Mailing Address |
4801 W Peterson Ave Ste 601 Chicago IL 60646-5728 |
| Practice Telephone | 8473299210 |
| Practice Fax Number | 7733472656 |
| Mailing Telephone | 8473299210 |
| Mailing Fax Number | 7733472656 |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2018-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071.007969 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9933 Lawler Ave Ste 331, Skokie, IL 600773783 | 8473299210 | 8473299280 |
| Street Address |
4801 W PETERSON AVE STE 601 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770123564 | Erinn Kohn | Psychologist | 4801 W Peterson Ave Ste 601, Chicago, IL 60646-5728 | 2020-01-09 |
| 1801436738 | Adrija Chatterjee | Psychologist | 4801 W Peterson Ave Ste 601, Chicago, IL 60646-5728 | 2020-01-08 |
| 1891347134 | Stephanie Brown | Marriage & Family Therapist | 4801 W Peterson Ave Ste 601, Chicago, IL 60646-5728 | 2019-07-16 |
| 1932606829 | Anna Georgatos-melanis | Psychologist | 4801 W Peterson Ave Ste 601, Chicago, IL 60646-5728 | 2018-04-09 |
| 1912411539 | Danielle Winston | Psychologist | 4801 W Peterson Ave Ste 601, Chicago, IL 60646-5728 | 2017-11-17 |
| 1033632617 | Nicole Thalheimer | Psychologist | 4801 W Peterson Ave Ste 601, Chicago, IL 60646-5728 | 2017-07-25 |
| 1184146912 | Nicole Laderberg | Psychologist | 4801 W Peterson Ave Ste 601, Chicago, IL 60646-5728 | 2017-07-13 |
| 1356744593 | Mindy Stutzman Moore | Psychologist | 4801 W Peterson Ave Ste 601, Chicago, IL 60646-5728 | 2014-10-02 |
| 1174872287 | Kendall Marie Silverstein | Psychologist | 4801 W Peterson Ave Ste 601, Chicago, IL 60646 | 2012-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801312087 | Manal Ibrahim | Dentist | 6228 N Keystone Ave, Chicago, IL 60646 | 2017-08-18 |
| 1750820742 | Kaitlin O'brien | Student in an Organized Health Care Education/Training Program | 5801 N Pulaski, Chicago, IL 60646 | 2017-02-23 |
| 1659810646 | Sofia Trani | Student in an Organized Health Care Education/Training Program | 5801 N. Pulaski Rd, Chicago, IL 60646 | 2017-02-23 |
| 1487191151 | Ronald E. Rysztogi | Naprapath | 5704 N. Austin, Chicago, IL 60646 | 2017-01-19 |
| 1417403148 | Joyful Dental Care | Clinic/Center | 6314 N. Cicero Avenue, Chicago, IL 60646 | 2016-09-01 |
| 1164889754 | Physicians At Call | Family Medicine | 5901 N. Cicero Ave, Ste 207, Chicago, IL 60646 | 2016-01-27 |
| 1245610617 | Arlett Payne | Physician Assistant | 5906 N Milwaukee, Chicago, IL 60646 | 2015-06-01 |
| 1811375843 | North River Mental Health Center | Community/Behavioral Health | 5801 North Pulaski Road, Chicago, IL 60646 | 2015-05-11 |
| 1003157298 | Family Choice Home Health | Homemaker | 5933 N Milwaukee Avenue, Chicago, IL 60646 | 2013-03-13 |
| 1235479593 | Antonina Skapars Trinkuns | Psychiatry & Neurology | 6404 N. Tahoma Ave., Chicago, IL 60646 | 2013-02-25 |
| Find all providers in zip 60646 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1730792151 | Jenny Marie Wamsat | Psychologist | 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 | 2020-08-25 |
| 1497365910 | Sara Sirota | Psychologist | 5443 N Broadway St # 2s, Chicago, IL 60640-1703 | 2020-08-10 |
| 1053920512 | Alyse Renae Bedell | Psychologist | 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 | 2020-07-30 |
| 1699392688 | Hongying Chen | Psychologist | 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 | 2020-06-25 |
| Find all providers in CHICAGO | ||||
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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.