Active NPI
Judith N. Levy, PH.D
- Psychologist
- Oakland, CA
National Provider Identifier
1134840606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY13236
- Practice address
- 5701 Country Club Dr
Oakland, CA 94618-1717 - Phone
- (510) 386-5000
- NPI assigned
- Sep 2, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY13236 | CA | Primary |
Addresses
Primary practice location
5701 Country Club Dr
Oakland, CA 94618-1717
Mailing address
5701 Country Club Dr
Oakland, CA 94618-1717
Phone (510) 386-5000
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 |
|---|---|---|---|
| PSY13236 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1134840606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 COUNTRY CLUB DR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181717",
"telephone_number": "510-386-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 COUNTRY CLUB DR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181717",
"telephone_number": "510-386-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "JUDITH",
"middle_name": "N.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-02",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY13236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.