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SUSAN J. NOVAK, PHD
NPI 1346585908
Clinic/Center - Adult Mental Health in Lake Forest, CA

Active since December 06, 2012
23832 ROCKFIELD BLVD STE 130, LAKE FOREST, CA 92630(949) 297-6680(949) 861-6321 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Susan J. Novak, Phd NPPES

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

SUSAN J. NOVAK, PHD (NPI 1346585908) is a healthcare organization registered as an adult mental health in Lake Forest, California and active in the NPI registry since December 2012. The organization lists Susan Joy Novak, President/clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1346585908
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameSOUTH COUNTY PSYCHOLOGICAL, INC.
Location Address23832 ROCKFIELD BLVD STE 130Lake Forest, CA 92630-2860
Mailing Address23832 Rockfield Blvd Ste 130Lake Forest, CA 92630-2860 · (949) 297-6680 · Fax (949) 861-6321
Phone(949) 297-6680
Fax(949) 861-6321
Organization SubpartNo
Authorized OfficialSusan Joy NovakPresident/clinical Psychologist · (949) 297-6680
Enumeration DateDecember 6, 2012
Last NPPES UpdateMarch 3, 2020
NPPES CertifiedMarch 3, 2020
✔ NPI 1346585908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in CA · PSY22415
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X · License PSY22415 (CA)
23832 ROCKFIELD BLVD STE 130, Lake Forest, CA 92630
Open in Google Maps ↗

Other Names 1

Other NameSusan J. Novak, Phd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan J. Novak, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Susan J. Novak, Phd, which bills Medicare for the services this clinician delivers.

Clinician (1)

Susan Novak, PHD
Clinical Psychologist
NPI 1093084162
23832 ROCKFIELD BLVD STE 130
Lake Forest, CA 92630
(949) 297-6680
✔ PECOS✔ Accepts MedicareSame address

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 South County Psychological, Inc.'s NPI number?

The NPI number for South County Psychological, Inc. is 1346585908. It was assigned to this organization in the NPPES registry on December 6, 2012. The provider is also known as Susan J. Novak, Phd.

Where is South County Psychological, Inc. located?

South County Psychological, Inc. is located at 23832 Rockfield Blvd Ste 130, Lake Forest, CA 92630. The listed phone number is (949) 297-6680.

What is South County Psychological, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is South County Psychological, Inc. enrolled in Medicare?

Yes. South County Psychological, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South County Psychological, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to South County Psychological, Inc.. 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 South County Psychological, Inc. was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.