Active NPI
Laurie Jane Levinson, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1073636361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 009873-1
- Practice address
- 173 E 74TH St
Apt. 2B
New York, NY 10021-3219 - Phone
- (212) 744-6653
- Fax
- (212) 772-9116
- NPI assigned
- Apr 9, 2007
- 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 | 009873-1 | NY | Primary |
Addresses
Primary practice location
173 E 74TH St
Apt. 2B
New York, NY 10021-3219
Mailing address
305 E 72ND St
Apt. 14E
New York, NY 10021-4683
Phone (212) 744-6653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009873-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073636361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 E 72ND ST",
"address_2": "APT. 14E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214683",
"telephone_number": "212-744-6653",
"fax_number": "212-772-9116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 E 74TH ST",
"address_2": "APT. 2B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213219",
"telephone_number": "212-744-6653",
"fax_number": "212-772-9116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINSON",
"first_name": "LAURIE",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "009873-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.