DR. TATJANA NOVAKOVIC-AGOPIAN PH.D. NPI 1053401455

NPI Information

NPI: 1053401455
Provider Name: DR. TATJANA NOVAKOVIC-AGOPIAN, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address: 2299 POST ST
SUITE 104A
SAN FRANCISCO, CA
ZIP 94115
Phone: (415) 753-3888

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NPI Details

DR. Tatjana Novakovic-agopian, PH.D. is a clinical neuropsychologist in San Francisco, CA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Tatjana Novakovic-agopian, PH.D. NPI is 1053401455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2299 POST ST
SUITE 104A
SAN FRANCISCO, CA
ZIP 94115-441
Phone: (415) 753-3888
Fax: (415) 333-2707

The enumeration date for this NPI number is 10/14/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		PSY 14601	CALIFORNIA	Yes
2	103T00000X	Psychologist				X
3	103TC0700X	Psychologist	Clinical	PSY 14601	CALIFORNIA	X
4	103TR0400X	Psychologist	Rehabilitation			X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PSY 14601	OTHER	CALIFORNIA	LICENSE
2	0PL 146010	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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