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MS. BETHANY NOVAK FNP
NPI 1093736696
Clinic/Center - Adolescent and Children Mental Health in New York, NY

Active since July 21, 2006
312 E 94TH ST, NEW YORK, NY 10128(212) 423-2900(212) 423-2920 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Bethany Novak Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. BETHANY NOVAK FNP (NPI 1093736696) is an individual adolescent and children mental health provider in New York, New York, licensed in New York (330008-1) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1093736696
Entity TypeIndividualFemale
Primary Taxonomy261QM0855X
Provider Legal NameMS. BETHANY NOVAKCredential: FNP
Location Address312 E 94TH STNew York, NY 10128-5604
Mailing Address312 E 94th StNew York, NY 10128-5604 · (212) 423-2900 · Fax (212) 423-2920
Phone(212) 423-2900
Fax(212) 423-2920
Sole ProprietorYes
Enumeration DateJuly 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093736696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in NY · 330008-1
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
312 E 94TH ST, New York, NY 10128
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Other Identifiers 1

Other11350513NY · Caqh

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JILLIAN ELYSE BERRIDGE LMSW
Social Worker
312 E 94TH ST
NEW YORK, NY 10128
New York County (212) 423-3000
SHARON EDWARDS M.D
Pediatrics (Adolescent Medicine)
312 E 94TH ST
NEW YORK, NY 10128
New York County (212) 423-2900
MS. JENNIFER ELLIOTT LMSW
Social Worker
312 E 94TH ST
NEW YORK, NY 10128
New York County (212) 423-3000
LINDSAY MCCONNELL ALLEN PA
Physician Assistant
312 E 94TH ST
NEW YORK, NY 10128
New York County (212) 423-3000
DR. KATHERINE MARY MALBON M.D.
Pediatrics (Adolescent Medicine)
312 E 94TH ST
NEW YORK, NY 10128
New York County (212) 731-7639
MRS. TYESHA DOMINIQUE
Physician Assistant
312 E 94TH ST
NEW YORK, NY 10128
New York County (212) 423-3000
DR. MICHAEL DAVID KISICKI MD
Psychiatry & Neurology (Psychiatry)
312 E 94TH ST
NEW YORK, NY 10128
New York County (212) 423-3000
MS. LILY ANN MENDOZA DIVINO LMSW, MPH
Social Worker
312 E 94TH ST
NEW YORK, NY 10128
New York County (212) 423-2900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Novak's NPI number?

The NPI number for Bethany Novak is 1093736696. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Bethany Novak located?

Bethany Novak practices at 312 E 94th St, New York, NY 10128. The listed phone number is (212) 423-2900.

What is Bethany Novak's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Bethany Novak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.