Individual provider Active NPI

Stephen E Levick, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1114069614
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD038385E Issued in PA
Practice address
2400 Chestnut St
Suite 1409
Philadelphia, PA 19103-4316
Phone
(215) 564-6440
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD038385E PA Primary

Addresses

Primary practice location

2400 Chestnut St
Suite 1409
Philadelphia, PA 19103-4316

Mailing address

2400 Chestnut St
Suite 1409
Philadelphia, PA 19103-4316
Phone (215) 564-6440

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1114069614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CHESTNUT ST",
            "address_2": "SUITE 1409",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034316",
            "telephone_number": "215-564-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CHESTNUT ST",
            "address_2": "SUITE 1409",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034316",
            "telephone_number": "215-564-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVICK",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD038385E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.