Individual provider Active NPI

Stephen Bregstone Levenberg, PH.D.

  • Clinical Psychologist
  • Mount Pleasant, SC
National Provider Identifier
1124219472
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
755 Issued in SC
Practice address
1001 Anna Knapp Ext
Mount Pleasant, SC 29464-5412
Phone
(843) 442-4893
NPI assigned
Aug 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 755 SC Primary

Addresses

Primary practice location

1001 Anna Knapp Ext
Mount Pleasant, SC 29464-5412

Mailing address

35 Westhaven Dr
Asheville, NC 28804-3737
Phone (843) 442-4893

Other names 1

  • Steve B Levenberg Other name

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

LicenseStateTypeSpecialty
755SCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1124219472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WESTHAVEN DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288043737",
            "telephone_number": "843-442-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ANNA KNAPP EXT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645412",
            "telephone_number": "843-442-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENBERG",
        "first_name": "STEPHEN",
        "middle_name": "BREGSTONE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVE",
            "last_name": "LEVENBERG",
            "middle_name": "B",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.