Active NPI
Terry Michael Levy, PHD
- Clinical Psychologist
- Evergreen, CO
National Provider Identifier
1073680948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1822
- Practice address
- 32065 Castle CT
Ste 325 Evergreen Psychotherapy Ctr
Evergreen, CO 80439 - Phone
- (303) 674-4029
- Fax
- (303) 674-4078
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1822 | CO | Primary |
Addresses
Primary practice location
32065 Castle CT
Ste 325 Evergreen Psychotherapy Ctr
Evergreen, CO 80439
Mailing address
32065 Castle CT
Ste 325 Evergreen Psychotherapy Ctr
Evergreen, CO 80439
Phone (303) 674-4029
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1822 | CO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Psychotherapy Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Evergreen, CO
- NPI 1427196005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073680948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32065 CASTLE CT",
"address_2": "STE 325 EVERGREEN PSYCHOTHERAPY CTR",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "80439",
"telephone_number": "303-674-4029",
"fax_number": "303-674-4078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32065 CASTLE CT",
"address_2": "STE 325 EVERGREEN PSYCHOTHERAPY CTR",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "80439",
"telephone_number": "303-674-4029",
"fax_number": "303-674-4078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "TERRY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "1822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen, CO
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.