Joel Bradley Levine, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012564 Issued in NY

Practice address

40 Main Pkwy
Plainview, NY 11803-2132

Phone

(516) 349-7271

Fax

(516) 349-9242

NPI assigned

Jan 30, 2007

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Atlas Kids & Family Therapy

  • Early Intervention Provider Agency
  • Plainview, NY
  • NPI 1932837382
  NPD Authorized official
• Joyous Family and Home Inc

  • Clinical Psychologist
  • Plainview, NY
  • NPI 1497460141
  NPD Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1114064227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAIN PKWY",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032132",
            "telephone_number": "516-349-7271",
            "fax_number": "516-349-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAIN PKWY",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032132",
            "telephone_number": "516-349-7271",
            "fax_number": "516-349-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JOEL",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Leung, M.D.
• Stephanie Lauren Levenberg, OTR/L
• Phoebe Caren Levine Kushner, M.D.
• Blake Levine, CSW
• Jill Levine, MS, RDN, CDN
• Joy Sandler Levine
• Natalia Levinskaya, D.O.
• Dana Lauren Levinson, LMSW
• Linda Ann Levitch, MS, CCC, LIC
• David A Levitsky, DPM

• Clinical Psychologist in Plainview, NY
• Providers in Plainview, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.