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DR MICHAEL DIVAK PSYCHOLOGIST
NPI 1679054167
Psychologist - Clinical in Canajoharie, NY

Active since August 23, 2018
66 MONTGOMERY ST STE 2, CANAJOHARIE, NY 13317(518) 673-6001 Get Directions Write a Review

NPPES record last updated: August 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr Michael Divak Psychologist NPPES

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

DR MICHAEL DIVAK PSYCHOLOGIST (NPI 1679054167) is a healthcare organization registered as a clinical in Canajoharie, New York and active in the NPI registry since August 2018. The organization lists Michael Norman Divak, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1679054167
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameDR MICHAEL DIVAK PSYCHOLOGIST
Location Address66 MONTGOMERY ST STE 2Canajoharie, NY 13317-1212
Mailing Address66 Montgomery StCanajoharie, NY 13317-1212 · (518) 673-6001 · Fax (518) 673-6033
Phone(518) 673-6001
Organization SubpartNo
Authorized OfficialMichael Norman DivakSole Proprietor · (518) 673-6001
Enumeration DateAugust 23, 2018
✔ NPI 1679054167 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
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Other Names 1

Doing Business AsDr Michael Divak Psychologist

Other Identifiers 4

Medicaid04054899NY
Other846977VA · Beacon Health Options, Inc
OtherPRC200309433NY · Capital District Physicians' Health Plan
Other021046NY · New York State Office Of The Professions. License

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

Other Providers at the Same Location NPPES

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

DR. MICHAEL NORMAN DIVAK PH.D.
Psychologist (Clinical)
66 MONTGOMERY ST STE 2
CANAJOHARIE, NY 13317
Montgomery County (518) 673-6001

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 Dr Michael Divak Psychologist's NPI number?

The NPI number for Dr Michael Divak Psychologist is 1679054167. It was assigned to this organization in the NPPES registry on August 23, 2018.

Where is Dr Michael Divak Psychologist located?

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

What is Dr Michael Divak Psychologist'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 Dr Michael Divak Psychologist was last updated on August 23, 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.