Individual provider Active NPI

Risa Lynn Levenson, PH.D.

  • Psychologist
  • Huntington, NY
National Provider Identifier
1073634259
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
013873-1 Issued in NY
Practice address
775 Park Ave
Suite 356
Huntington, NY 11743-3976
Phone
(631) 784-7761
Fax
(631) 784-7831
NPI assigned
Apr 3, 2007
Last updated
Jun 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 013873-1 NY Primary

Addresses

Primary practice location

775 Park Ave
Suite 356
Huntington, NY 11743-3976

Mailing address

775 Park Ave
Suite 356
Huntington, NY 11743-3976
Phone (631) 784-7761

Other identifiers 1

IdentifierTypeStateIssuer
01949802MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040911000276 NY Practitioner - Clinical Psychologist 7214827187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Albert Einstein College of Medicine of Yeshiva University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Beginnings Psychology, LLC.Group PAC ID 7012185036, 3 clinicians

Practice addresses (Care Compare)

775 Park Ave
Suite 310
Huntington, NY 11743-7560
Phone (631) 784-7761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
013873-1NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Caremed Primary and Urgent Care PC CurrentSince Jun 9, 2025 Accepting new patients
New Beginnings Psychology, LLC. Psychologist CurrentSince Jun 15, 2011 Accepting new patients
Hollander Psychological Consulting PC PastSince Sep 21, 1992 Accepting new patients

Locations

775 Park Ave
Ste 310
Huntington, NY 11743
Phone (631) 384-7790

775 Park Ave
Ste 356
Huntington, NY 11743
Phone (631) 256-7333

6 New York Ave
Sound Beach, NY 11789
Phone (631) 784-7761

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1073634259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 PARK AVE",
            "address_2": "SUITE 356",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433976",
            "telephone_number": "631-784-7761",
            "fax_number": "631-784-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PARK AVE",
            "address_2": "SUITE 356",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433976",
            "telephone_number": "631-784-7761",
            "fax_number": "631-784-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENSON",
        "first_name": "RISA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013873-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01949802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.