Individual provider Active NPI

Barrett G Levine, M.D.

  • Psychiatry Physician
  • Fresno, CA
National Provider Identifier
1114087533
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G35389 Issued in CA
Practice address
2550 W Clinton Ave BLDG W
Fresno, CA 93705-4206
Phone
(559) 264-7521
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X G35389 CA
Psychiatry Physician 2084P0800X G35389 CA Primary

Addresses

Primary practice location

2550 W Clinton Ave BLDG W
Fresno, CA 93705-4206

Mailing address

10 Pico CT
Orinda, CA 94563-4130
Phone (510) 862-5204

Other practice location 1

10 Pico Ct
Orinda, CA 94563-4130
Phone (510) 862-5204

Other identifiers 1

IdentifierTypeStateIssuer
G35389OtherCACA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070315000276 CA Practitioner - PsychiatryPractitioner - Addiction Medicine 2860595634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
University of California, Geffen School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The West Oakland Health CouncilGroup PAC ID 9537062302, shared by 4 NPIs, 27 clinicians

Practice addresses (Care Compare)

700 Adeline St
Oakland, CA 94607-2608
Phone 51083596102006

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G35389CAMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Traditions Psychiatry Group, P.C Psychiatry CurrentSince May 1, 2018 Accepting new patients
Alameda Health System CurrentSince Jul 31, 2018 Accepting new patients
Hiawatha Harris, Corporation CurrentSince Oct 18, 2020 Accepting new patients
Hiawatha Harris, M.D., Inc. Current Accepting new patients
Hiawatha Harris, M.D., Inc. CurrentSince Oct 18, 2020 Accepting new patients
Mental Health Systems, Inc. CurrentSince Dec 12, 2021 Accepting new patients
Mental Health Systems, Inc. PastSince Dec 12, 2021 Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

2550 W Clinton Ave
Bldg W
Fresno, CA 93705
Phone (559) 264-7521

1580 1st St
Napa, CA 94559
Phone (707) 200-8225

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

1700 Broadway
#500
Oakland, CA 94612
Phone (510) 273-4200

5674 Stoneridge Dr
Ste 207
Pleasanton, CA 94588

1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031

2608 Central Ave
Ste 1
Union City, CA 94587
Phone (510) 675-0060

Interoperability endpoints

  • Direct secure messaging: blevine14318@alamedahs.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1114087533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PICO CT",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945634130",
            "telephone_number": "510-862-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W CLINTON AVE BLDG W",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937054206",
            "telephone_number": "559-264-7521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Pico Ct",
            "address_purpose": "LOCATION",
            "city": "Orinda",
            "state": "CA",
            "postal_code": "945634130",
            "country_code": "US",
            "telephone_number": "510-862-5204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "BARRETT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "G35389",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G35389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "G35389",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.