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NOVA BEHAVIORAL HEALTH, LLC
NPI 1316529415
Clinic/Center - Mental Health (Including Community Mental Health Center) in Sayre, PA

Active since April 27, 2021
703 S ELMER AVE STE 107, SAYRE, PA 18840(570) 203-1735(570) 888-2641 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 26, 2021, Apr 27, 2021 (2 updates tracked since 2021).

About Nova Behavioral Health, Llc NPPES

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

NOVA BEHAVIORAL HEALTH, LLC (NPI 1316529415) is a healthcare organization registered as a mental health (including community mental health center) in Sayre, Pennsylvania and active in the NPI registry since April 2021. The organization lists Nadya Gifeisman, Therapist, as its authorized official.

NPPES Registry Identity

NPI1316529415
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameNOVA BEHAVIORAL HEALTH, LLC
Location Address703 S ELMER AVE STE 107Sayre, PA 18840-2400
Mailing Address221 Queen Esther DrSayre, PA 18840-9698 · (740) 262-3777 · Fax (570) 888-2641
Phone(570) 203-1735
Fax(570) 888-2641
Organization SubpartNo
Authorized OfficialNadya GifeismanTherapist · (174) 026-2377
Enumeration DateApril 27, 2021
Last NPPES UpdateAugust 26, 20212 updates tracked since enumeration
NPPES CertifiedAugust 26, 2021
✔ NPI 1316529415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
703 S ELMER AVE STE 107, Sayre, PA 18840
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nova Behavioral Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20211011000101Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nova Behavioral Health, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nadya Gifeisman
Clinical Social Worker
NPI 1104240704
703 S ELMER AVE
Sayre, PA 18840
(570) 203-1735
✔ PECOS✔ Accepts Medicare1.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nova Behavioral Health, LLC's NPI number?

The NPI number for Nova Behavioral Health, LLC is 1316529415. It was assigned to this organization in the NPPES registry on April 27, 2021.

Where is Nova Behavioral Health, LLC located?

Nova Behavioral Health, LLC is located at 703 S Elmer Ave Ste 107, Sayre, PA 18840. The listed phone number is (570) 203-1735.

What is Nova Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Nova Behavioral Health, LLC enrolled in Medicare?

Yes. Nova Behavioral Health, LLC is registered in the Medicare PECOS enrollment system.

When is Nova Behavioral Health, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Nova Behavioral Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Nova Behavioral Health, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nova Behavioral Health, LLC was last updated on August 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.