Healthcare Provider Details

I. General information

NPI: 1649816422
Provider Name (Legal Business Name): CHELSEA NOVACIC PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2019
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11279 PERRY HWY STE 204
WEXFORD PA
15090-9303
US

IV. Provider business mailing address

3735 SAXONBURG BLVD STE 3
PITTSBURGH PA
15238-1071
US

V. Phone/Fax

Practice location:
  • Phone: 412-246-5811
  • Fax:
Mailing address:
  • Phone: 412-213-8667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS020064
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberPS020064
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: