Douglas Novotny, PHD is a medicare enrolled "Psychologist - Clinical" provider in Clayton, California. His current practice location is
6150 Center Street, Clayton, California. You can reach out to his office (for appointments etc.) via phone at
(925) 722-4540.
Douglas Novotny is licensed to practice in California (license number 23447) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1962548800.
Healthcare Provider's Profile
Full Name | Douglas Novotny |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 6150 Center Street, Clayton, California |
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Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Douglas Novotny attended and graduated from in
NPI Data:
- NPI Number: 1962548800
- Provider Enumeration Date: 01/29/2007
- Last Update Date: 08/30/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Douglas Novotny such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962548800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 23447 (California) | Secondary |
103TC0700X | Psychologist - Clinical | 23447 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Douglas Novotny is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Douglas Novotny, PHD 6150 Center St, Clayton, CA 94517-5099 Ph: () - | Douglas Novotny, PHD 6150 Center Street, Clayton, CA 94517-0486 Ph: (925) 722-4540 |
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