Mark David Levine MD Vallejo Professional Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MARK DAVID LEVINE MD VALLEJO PROFESSIONAL CORPORATION

Doing business as

Community Psychiatry

Practice address

1021 First St Ste 5
Benicia, CA 94510

Phone

(707) 554-1146

Fax

(707) 554-4300

NPI assigned

Sep 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark David Levine, MD

Title

President

Phone

(916) 576-7898

Specialties & licenses 1

Addresses

Other names 1

• Community Psychiatry Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1023266053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 ARENA BLVD STE 160",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95834",
            "telephone_number": "916-576-7898",
            "fax_number": "916-285-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 FIRST ST STE 5",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "94510",
            "telephone_number": "707-554-1146",
            "fax_number": "707-554-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DAVID LEVINE MD VALLEJO PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-576-7898",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colleen Marie Macadam, MFT
• Made Whole Psychotherapy Services, Inc.
• Janice Dee Magner, MFT
• Shelly Maramonte, M. D.
• Bala Chandran Marar, M.D
• Mark David Levine, Walnut Creek Professional Corp
• Mark Punzal Coaching LLC
• Andrea Markus, MPT
• Laura Marshall
• Angelina Mayse

• Psychiatry Physician in Benicia, CA
• Providers in Benicia, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.