Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeremy Novak, PHD

Individual provider Clinical Psychologist · NPI 1184744682

Dr. Jeremy Novak, PHD is a Clinical Psychologist in Saint Clair Shores, Michigan. Qualified in 2002, 24 years ago. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

29750 Harper Ave
Saint Clair Shores, MI 48082-2607
Phone: (586) 777-3200
Fax: (586) 777-7855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301012112 (MI)

Record details

NPI number1184744682
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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