Active NPI
Stephen Walter Levine, PHD
- Psychologist
- Goshen, NY
National Provider Identifier
1134216484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0102141
- Practice address
- 3 Hatfied Lane
Suite 1
Goshen, NY 10924 - Phone
- (845) 291-7480
- Fax
- (845) 294-3785
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0102141 | NY | Primary |
Addresses
Primary practice location
3 Hatfied Lane
Suite 1
Goshen, NY 10924
Mailing address
11 Medical Park Drive
Suite 106
Pomona, NY 10970
Phone (845) 620-0957
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102141 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1134216484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MEDICAL PARK DRIVE",
"address_2": "SUITE 106",
"city": "POMONA",
"state": "NY",
"postal_code": "10970",
"telephone_number": "845-620-0957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HATFIED LANE",
"address_2": "SUITE 1",
"city": "GOSHEN",
"state": "NY",
"postal_code": "10924",
"telephone_number": "845-291-7480",
"fax_number": "845-294-3785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "STEPHEN",
"middle_name": "WALTER",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "0102141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.