Active NPI
Levi Alford Henry, M.A., P.P.S.
- School Psychologist
- Santa Maria, CA
National Provider Identifier
1093015208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 402 Farnell Road
Suite a
Santa Maria, CA 93458-4960 - Phone
- (805) 922-0334
- NPI assigned
- Oct 22, 2010
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
402 Farnell Road
Suite a
Santa Maria, CA 93458-4960
Mailing address
4775 Hidalgo Ave.
Atascadero, CA 93422
Phone (805) 458-6852
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
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1093015208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4775 HIDALGO AVE.",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "93422",
"telephone_number": "805-458-6852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 FARNELL ROAD",
"address_2": "SUITE A",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934584960",
"telephone_number": "805-922-0334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "LEVI",
"middle_name": "ALFORD",
"name_prefix": "Mr.",
"credential": "M.A., P.P.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-22",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.