Individual provider Active NPI

Seth David Leventhal, PH.D.

  • Clinical Psychologist
  • Palm Beach Gardens, FL
National Provider Identifier
1164551842
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY5320 Issued in FL
Practice address
11380 Prosperity Farms Rd
Ste 210B
Palm Beach Gardens, FL 33410-3477
Phone
(561) 622-4047
Fax
(561) 622-4651
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY5320 FL Primary

Addresses

Primary practice location

11380 Prosperity Farms Rd
Ste 210B
Palm Beach Gardens, FL 33410-3477

Mailing address

11380 Prosperity Farms Rd
Ste 210B
Palm Beach Gardens, FL 33410-3477
Phone (561) 622-4047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110309000813 FL Practitioner - Clinical Psychologist 6204018427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11380 Prosperity Farms Rd
Suite 210B
Palm Beach Gardens, FL 33410-3477
Phone (561) 622-4047

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY5320FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sound on Audiology, LLC CurrentSince Apr 27, 2016 Accepting new patients
Dr.Seth Leventhal,LLC Clinical CurrentSince Oct 1, 2014 Accepting new patients

Locations

3600 Masterpiece Way
Palm Beach Gardens, FL 33410
Phone (561) 207-6072

11380 Prosperity Farms Rd
Ste 210B
Palm Beach Gardens, FL 33410
Phone (561) 469-9846

3345 Burns Rd
Ste 302
Palm Beach Gardens, FL 33410
Phone (561) 622-4047

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1164551842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD",
            "address_2": "STE 210B",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103477",
            "telephone_number": "561-622-4047",
            "fax_number": "561-622-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD",
            "address_2": "STE 210B",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103477",
            "telephone_number": "561-622-4047",
            "fax_number": "561-622-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENTHAL",
        "first_name": "SETH",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.