Organization
VAYDA MENTAL HEALTH COLLABORATIVE PLLC
Active
Organization
VAYDA MENTAL HEALTH COLLABORATIVE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISE MARIE NOVAK PSYD, LP (CO-FOUNDER)
(651) 240-2206
Entity
Organization
Contact information
Practice address
299 COON RAPIDS BLVD NW STE 100, COON RAPIDS, MN 55433-5869
(651) 240-2206
(612) 446-5766
Mailing address
13233 JOHNSON ST NE, BLAINE, MN 55434-4171
(612) 382-9781
(612) 446-5766
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
08/16/2020
Last updated
09/18/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up