Dr Michael Norman Divak, PHD - Psychologist in Canajoharie, NY

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Dr Michael Norman Divak, PHD is a Psychologist - Clinical based in Canajoharie, New York. Dr Michael Norman Divak is licensed to practice in New York (license number 021046-1) and his current practice location is 66 Montgomery St Ste 2, Canajoharie, New York. He can be reached at his office (for appointments etc.) via phone at (518) 673-6001.

NPI number for Dr Michael Norman Divak is 1508284704 and his current mailing address is 66 Montgomery St Ste 2, Canajoharie, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508284704.

Contact Information

Dr Michael Norman Divak, PHD
66 Montgomery St Ste 2,
Canajoharie, NY 13317-1212
(518) 673-6001
(518) 673-6033

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Healthcare Provider's Profile

Full NameDr Michael Norman Divak
GenderMale
SpecialityPsychologist - Clinical
Location66 Montgomery St Ste 2, Canajoharie, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508284704
  • Provider Enumeration Date: 04/03/2014
  • Last Update Date: 08/22/2018

Medical Identifiers

Medical identifiers for Dr Michael Norman Divak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508284704NPI-NPPES
021046OtherNYLICENSE PSYCHOLGIST
021046OtherNYNEW YORK STATE OFFICE OF PROFESSION

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 021046-1 (New York)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. Dr Michael Norman Divak is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Michael Norman Divak, PHD
66 Montgomery St Ste 2,
Canajoharie, NY 13317-1212

Ph: (518) 673-6001		Dr Michael Norman Divak, PHD
66 Montgomery St Ste 2,
Canajoharie, NY 13317-1212

Ph: (518) 673-6001

Reviews and Comments


Psychologist in Canajoharie, NY

Dr. Kelly Ann Swart, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 136 Scholastic Way, Canajoharie, NY 13317
Phone: 518-673-6310    Fax: 518-673-4131
Mrs. Amy Blowers, MS
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 25 School District Rd, Canajoharie, NY 13317
Phone: 518-673-6310    

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