Active NPI
Jay I Levinson, PH.D.
- Clinical Psychologist
- Lutherville, MD
National Provider Identifier
1164546834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1336
- Practice address
- 2360 W Joppa Rd Ste 318
Greenspring Station
Lutherville, MD 21093-4639 - Phone
- (410) 825-3646
- Fax
- (410) 825-3649
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1336 | MD | Primary |
Addresses
Primary practice location
2360 W Joppa Rd Ste 318
Greenspring Station
Lutherville, MD 21093-4639
Mailing address
2360 W Joppa Rd Ste 318
Greenspring Station
Lutherville, MD 21093-4639
Phone (410) 825-3646
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KF26 | Other | MD | CAREFIRST BCBS |
| W240 | Other | MD | CAREFIRST BCBS |
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 |
|---|---|---|---|
| 1336 | MD | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dustin Sentz LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Towson, MD
- NPI 1336647551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164546834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 W JOPPA RD STE 318",
"address_2": "GREENSPRING STATION",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210934639",
"telephone_number": "410-825-3646",
"fax_number": "410-825-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 W JOPPA RD STE 318",
"address_2": "GREENSPRING STATION",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210934639",
"telephone_number": "410-825-3646",
"fax_number": "410-825-3649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINSON",
"first_name": "JAY",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "1336",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "KF26",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "W240",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.