Provider Demographics
NPI:1194038653
Name:NOVICK, JAMES S (MED, LMHC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:S
Last Name:NOVICK
Suffix:
Gender:M
Credentials:MED, LMHC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:106 SPRING STREET
Mailing Address - Street 2:SUITE 209
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740
Mailing Address - Country:US
Mailing Address - Phone:774-328-6901
Mailing Address - Fax:508-991-3105
Practice Address - Street 1:106 SPRING ST
Practice Address - Street 2:SUITE 209
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740
Practice Address - Country:US
Practice Address - Phone:774-328-6901
Practice Address - Fax:508-991-3105
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA3978101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health