Individual provider Active NPI

Charles Levner, PH.D.

  • Psychologist
  • Bronx, NY
National Provider Identifier
1093880726
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8970 Issued in NY
Practice address
3736 Henry Hudson Pkwy
Bronx, NY 10463-1502
Phone
(718) 549-0243
Fax
(718) 548-6766
NPI assigned
Nov 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Psychologist 103T00000X 8970 NY Primary

Addresses

Primary practice location

3736 Henry Hudson Pkwy
Bronx, NY 10463-1502

Mailing address

3736 Henry Hudson Pkwy
Bronx, NY 10463-1502
Phone (718) 549-0243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20111024000000 NY Practitioner - Clinical Psychologist 0648443465 Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3736 Henry Hudson Pkwy
Bronx, NY 10463-1502
Phone (718) 549-0243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8970NYMDPsychologist
008970NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093880726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 HENRY HUDSON PKWY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631502",
            "telephone_number": "718-549-0243",
            "fax_number": "718-548-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 HENRY HUDSON PKWY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631502",
            "telephone_number": "718-549-0243",
            "fax_number": "718-548-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVNER",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "8970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.