IndividualActive
Charles Novak, MD
NPI 1770511743 · Psychiatry Physician · Boise, ID
Provider details
- NPI number
- 1770511743
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M4922 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
413 Allumbaugh St
Suite 101
Boise, ID 83704-9212
Phone: (208) 323-1125
Approximate (ZIP-level) locationGet directions
Mailing address
413 Allumbaugh St
Boise, ID 83704-9212
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2021-04-16
- Certified
- 2021-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.