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

Individual provider Clinical Psychologist · NPI 1831318203

Mary Nowack, PHD is a Clinical Psychologist in Okemos, Michigan. Graduated from Michigan State University College of Human Medicine in 1984, 42 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
42
Trained at
Michigan State University College of Human Medicine
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

4747 Woodcraft Rd
Okemos, MI 48864-2070
Phone: (517) 332-1580
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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 6301003862 (MI)

Record details

NPI number1831318203
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 24, 2007
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024
Mailing address4747 Woodcraft Rd, Okemos, MI 48864-2070

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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