Active NPI
Jennifer Levis, PSY.D.
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1174715569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY20256
- Practice address
- 2810 E del Mar Blvd
Suite 8
Pasadena, CA 91107-4321 - Phone
- (626) 356-0363
- Fax
- (626) 356-0466
- NPI assigned
- Aug 9, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY20256 | CA | Primary |
Addresses
Primary practice location
2810 E del Mar Blvd
Suite 8
Pasadena, CA 91107-4321
Mailing address
2810 E del Mar Blvd
Suite 8
Pasadena, CA 91107-4321
Phone (626) 356-0363
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY20256 | CA | MD | Clinical Psychologist |
| 20256 | CA | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haraszti & Associates | Clinical | Past | Accepting new patients |
| Haraszti and Associates | Clinical | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Pasadena, CA
- NPI 1679775100
-
- Clinical Psychologist
- Pasadena, CA
- NPI 1609094234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1174715569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 E DEL MAR BLVD",
"address_2": "SUITE 8",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074321",
"telephone_number": "626-356-0363",
"fax_number": "626-356-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 E DEL MAR BLVD",
"address_2": "SUITE 8",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074321",
"telephone_number": "626-356-0363",
"fax_number": "626-356-0466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIS",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY20256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.