Betsy K Levine-Proctor, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY7136 Issued in CA

Practice address

1330 Lincoln Ave Ste 306
San Rafael, CA 94901-2143

Phone

(415) 497-6634

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Betsy K Levine Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1093801979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LINCOLN PARK UNIT 105",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602565",
            "telephone_number": "415-497-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 LINCOLN AVE STE 306",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012143",
            "telephone_number": "415-497-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE-PROCTOR",
        "first_name": "BETSY",
        "middle_name": "K",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "LEVINE",
            "middle_name": "K",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Margaret Leventer, L..C.S.W.
• Eitan Levi
• Deborah Marie Levin, LCSW
• Jeffrey S Levin, LCSW
• Lelah Levin, NP
• Claudia A Levine, MD
• Mark D Levine, M.S.
• Natalie Levine, FNP
• Sasha Rose Levine, LMFT
• Bari E. Levinson, MD

• Clinical Psychologist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.

Verify at the official NPI Registry.