DR. MICHAEL NORMAN DIVAK PH.D.
NPI 1508284704
Psychologist - Clinical in Canajoharie, NY

Active since April 03, 2014
66 MONTGOMERY ST STE 2, CANAJOHARIE, NY 13317(518) 673-6001(518) 673-6033 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2018, Jun 24, 2018, Jun 16, 2018 (3 updates tracked since 2018).

About Dr. Michael Norman Divak Ph.d. NPPES

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

DR. MICHAEL NORMAN DIVAK PH.D. (NPI 1508284704) is an individual clinical provider in Canajoharie, New York, licensed in New York (021046-1) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1508284704
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHAEL NORMAN DIVAKCredential: PH.D.
Location Address66 MONTGOMERY ST STE 2Canajoharie, NY 13317
Mailing Address66 Montgomery St Ste 2Canajoharie, NY 13317-1212 · (518) 673-6001 · Fax (518) 673-6033
Fax(518) 673-6033
Sole ProprietorYes
Enumeration DateApril 3, 2014
Last NPPES UpdateAugust 22, 20183 updates tracked since enumeration
NPI 1508284704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NY · 021046-1
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
66 MONTGOMERY ST STE 2, Canajoharie, NY 13317

Other Names 1

Other Name (5)Michael N. Divak Psychologist

Other Identifiers 2

Other021046NY · New York State Office Of Profession
Other021046NY · License Psycholgist

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
66 MONTGOMERY ST STE 2
CANAJOHARIE, NY 13317

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 Michael Divak's NPI number?

The NPI number for Michael Divak is 1508284704. It was assigned to this individual provider in the NPPES registry on April 3, 2014. The provider is also known as Michael N. Divak Psychologist.

Where is Michael Divak located?

Michael Divak practices at 66 Montgomery St Ste 2, Canajoharie, NY 13317. The listed phone number is (518) 673-6001.

What is Michael Divak's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Michael Divak was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.