Active NPI
Risa Lynn Levenson, PH.D.
- Psychologist
- Huntington, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 013873-1
- 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, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01949802 | Medicaid | NY |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 013873-1 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caremed Primary and Urgent Care PC | Current | Accepting new patients | |
| New Beginnings Psychology, LLC. | Psychologist | Current | Accepting new patients |
| Hollander Psychological Consulting PC | Past | 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.
-
- Psychologist
- Huntington, NY
- NPI 1689872608
-
dba Middle Country Medical Care
- Internal Medicine Physician
- Patchogue, NY
- NPI 1487050134
-
- Clinical Psychologist
- White Plains, NY
- NPI 1760534481
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.