Active NPI
Martin Ray Levy, PH. D.
- Clinical Psychologist
- Tucson, AZ
National Provider Identifier
1184686610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0223
- Practice address
- 6614 E Carondelet Dr
Tucson, AZ 85710-2119 - Phone
- (520) 296-8572
- Fax
- (520) 885-3922
- NPI assigned
- Apr 3, 2006
- 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 | 0223 | AZ | Primary |
Addresses
Primary practice location
6614 E Carondelet Dr
Tucson, AZ 85710-2119
Mailing address
6614 E Carondelet Dr
Tucson, AZ 85710-2119
Phone (520) 296-8572
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0130910 | Other | AZ | BCBS PROVIDER ID |
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 |
|---|---|---|---|
| 0223 | AZ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184686610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6614 E CARONDELET DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857102119",
"telephone_number": "520-296-8572",
"fax_number": "520-885-3922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6614 E CARONDELET DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857102119",
"telephone_number": "520-296-8572",
"fax_number": "520-885-3922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "MARTIN",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "0223",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "AZ0130910",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
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.