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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427554732

Kelsey Novak, PSYD is a Clinical Psychologist in Mesa, Arizona. Qualified in 2018, 8 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1917 S Crismon Rd
Mesa, AZ 85209-6216
Phone: (480) 610-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1836 South Ave, La Crosse, WI 54601-5429 — (608) 782-7300

Specialties & licences

Health Psychologist (primary) Taxonomy 103TH0004X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1427554732
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedApril 4, 2018
Last updated in NPPESAugust 30, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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