Individual
DR. JACK NOVICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
617 STRATFORD DR, ANN ARBOR, MI 48104-2745
(734) 665-6745
(734) 665-2875
Mailing address
617 STRATFORD DR, ANN ARBOR, MI 48104-2745
(734) 665-6745
(734) 665-2875
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
002202
MI
103TA0700X
Adult Development & Aging Psychologist
002202
MI
103TB0200X
Cognitive & Behavioral Psychologist
002202
MI
103TC0700X
Clinical Psychologist
Primary
002202
MI
103TC1900X
Counseling Psychologist
002202
MI
103TC2200X
Clinical Child & Adolescent Psychologist
002202
MI
103TF0000X
Family Psychologist
002202
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0HI45566
BLUE CROSS
MI
Enumeration date
03/14/2008
Last updated
03/14/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us