Novick, Jack
Novick, Jack is an sole proprietor health care provider with primary practice located at 617 Stratford Dr , Ann Arbor MI 48104-2745. He recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Novick, Jack can be contacted via phone (734) 665-6745.Contact Information
Primary practice address
617 Stratford Dr
Ann Arbor MI 48104-2745
Phone: (734) 665-6745
Fax: (734) 665-2875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X | 002202 | Michigan |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 002202 | Michigan |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 002202 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 002202 | Michigan |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 002202 | Michigan |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 002202 | Michigan |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 002202 | Michigan |
Profile Details
| NPI number | 1710158928 |
|---|---|
| LBN Legal business name | Novick, Jack |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2008 |
| Last updated | Mar 14th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710158928 | NPPES |
| Michigan | Other | 0HI45566 | BLUE CROSS |
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