Individual provider Active NPI

Jane Ann Levitan, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Scarsdale, NY
National Provider Identifier
1083834188
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400363 Issued in NY
Practice address
45 Popham Rd
Suite D
Scarsdale, NY 10583-4252
Phone
(914) 722-1789
Fax
(914) 722-1789
NPI assigned
Apr 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400363 NY Primary

Addresses

Primary practice location

45 Popham Rd
Suite D
Scarsdale, NY 10583-4252

Mailing address

45 Popham Rd
Suite D
Scarsdale, NY 10583-4252
Phone (914) 722-1789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 23, 2016 through Mar 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F400363NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083834188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 POPHAM RD",
            "address_2": "SUITE D",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834252",
            "telephone_number": "914-722-1789",
            "fax_number": "914-722-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 POPHAM RD",
            "address_2": "SUITE D",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834252",
            "telephone_number": "914-722-1789",
            "fax_number": "914-722-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITAN",
        "first_name": "JANE",
        "middle_name": "ANN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.