NPIMap

Individual provider Active NPI

Cynthia Levine, PSYD

  • Clinical Psychologist
  • Vancouver, WA
National Provider Identifier
1124229356
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 60049102 Issued in WA
Practice address
200 E 22ND St
Suite D
Vancouver, WA 98663-3266
Phone
(360) 953-2077
Fax
(360) 696-4811
NPI assigned
May 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00007798 WA
Professional Counselor 101YP2500X C1473 OR
Clinical Psychologist 103TC0700X PY 60049102 WA Primary
Clinical Child & Adolescent Psychologist 103TC2200X PY 60049102 WA
Family Psychologist 103TF0000X PY 60049102 WA
Health Psychologist 103TH0004X PY 60049102 WA

Addresses

Primary practice location

200 E 22ND St
Suite D
Vancouver, WA 98663-3266

Mailing address

200 E 22ND St
Suite D
Vancouver, WA 98663-3266
Phone (360) 953-2077

Other names 1

  • Cyndi Levine 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

State licenses

LicenseStateTypeSpecialty
LH00007798WAMDMental Health Counselor
C1473ORMDProfessional Counselor
PY 60049102WAMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1124229356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 22ND ST",
            "address_2": "SUITE D",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633266",
            "telephone_number": "360-953-2077",
            "fax_number": "360-696-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 22ND ST",
            "address_2": "SUITE D",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633266",
            "telephone_number": "360-953-2077",
            "fax_number": "360-696-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "CYNTHIA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-28",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00007798",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1473",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY 60049102",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WA",
            "license": "PY 60049102",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "WA",
            "license": "PY 60049102",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "WA",
            "license": "PY 60049102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNDI",
            "last_name": "LEVINE",
            "credential": "PSYD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.