Organization Active NPI

Levine-Adler P.a.

  • Psychologist
  • Burnsville, MN
National Provider Identifier
1154641900
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP2202 Issued in MN
Legal business name
LEVINE-ADLER P.A.
Practice address
200 E Travelers TRL
Suite 225
Burnsville, MN 55337-4097
Phone
(952) 707-1820
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Dr. Leslie Levine Adler, PH.D.
Title
President
Phone
(952) 707-1820

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X LP2202 MN Primary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X LP2202 MN
Clinical Child & Adolescent PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC2200X LP2202 MN

Addresses

Primary practice location

200 E Travelers TRL
Suite 225
Burnsville, MN 55337-4097

Mailing address

200 E Travelers TRL
Suite 225
Burnsville, MN 55337-4097
Phone (952) 707-1820

National Provider Directory

National Provider Directory

Locations

4660 Slater Rd
Ste 220B
Eagan, MN 55122
Phone (952) 707-1820

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1154641900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E TRAVELERS TRL",
            "address_2": "SUITE 225",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374097",
            "telephone_number": "952-707-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E TRAVELERS TRL",
            "address_2": "SUITE 225",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374097",
            "telephone_number": "952-707-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVINE-ADLER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "LEVINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-707-1820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP2202",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP2202",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "LP2202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.