Stacy Dever Levy, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

123354 Issued in CA

Practice address

15814 Winchester Blvd Ste 102
Los Gatos, CA 95030-3333

Phone

(408) 982-6709

NPI assigned

Dec 8, 2020

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

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 12, 2024 through Feb 12, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1104422856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10644",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951571644",
            "telephone_number": "408-982-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15814 WINCHESTER BLVD STE 102",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950303333",
            "telephone_number": "408-982-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVER LEVY",
        "first_name": "STACY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "123354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hrushita Desai, PHARMD
• Roshni Balkrishna Desai, PA-C
• Sejal Desai, DPT
• Judith Louise Dethlefs, M.D
• Vidya Devarapalli, PT, DPT
• Denise Diaz Keenan, OD
• Stephanie Diaz Martinez
• Alberto Diaz
• Veridiana Diaz
• Matthew Aaron Diercks, DDS

• Marriage & Family Therapist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.