Jeremy Novak, PH.D.
NPI 1184744682ActiveIndividual· Psychologist, Clinical· Saint Clair Shores, MI
Psychologist, Clinical (PH.D.) in Saint Clair Shores, Michigan, licensed in MI, with an NPI issued in March 2007. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1184744682 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Mar 29, 2007 |
| Last updated in NPPES | Nov 27, 2024 |
| Certified by provider | Nov 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6301012112 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MI) |
|---|
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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All 35 clinical psychologists in Saint Clair Shores · All clinical psychologists in Michigan