Active NPI
Mark Levy, PHD
- Clinical Psychologist
- Delray Beach, FL
National Provider Identifier
1114685112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8425-1
- Practice address
- 5670 Willow Creek CT
Delray Beach, FL 33484-6934 - Phone
- (646) 261-7769
- NPI assigned
- Dec 7, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8425-1 | NY | Primary |
Addresses
Primary practice location
5670 Willow Creek CT
Delray Beach, FL 33484-6934
Mailing address
5670 Willow Creek CT
Delray Beach, FL 33484-6934
Phone (646) 261-7769
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8425-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1114685112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5670 WILLOW CREEK CT",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846934",
"telephone_number": "646-261-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5670 WILLOW CREEK CT",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846934",
"telephone_number": "646-261-7769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-07",
"last_updated": "2021-12-07",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "8425-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.