Provider Type Icon

CHARLES C NOVAK MD CHARTERED NPI 1316245004


NPI Information

NPI: 1316245004
Provider Name: CHARLES C NOVAK MD CHARTERED
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
413 N ALLUMBAUGH ST STE 101
BOISE, ID
ZIP 83704
Phone: (208) 323-1125
Get Directions

CHARLES C NOVAK MD CHARTERED is a psychiatry psychiatry neurology in Boise, ID. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. CHARLES C NOVAK MD CHARTERED NPI is 1316245004. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

413 N ALLUMBAUGH ST STE 101
BOISE, ID
ZIP 83704-219
Phone: (208) 323-1125

The provider's authorized official is Alison Dunbar .
The authorized official title is Billing Supervisor and has the following contact phone number (208) 323-1125.

The enumeration date for this NPI number is 3/4/2011 and was last updated on 3/4/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryM4922IDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11118122MEDICARE PIN
21770511743OTHERINDIVIDUAL NPI
3B63775MEDICARE UPIN

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.