Active NPI
Mark Levine M.D. Mindfulness Associates, P.C.
- Group Psychotherapy Psychologist
- Roseville, CA
National Provider Identifier
1215313523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- Legal business name
- MARK LEVINE M.D. MINDFULNESS ASSOCIATES, P.C.
- Practice address
- 3017 Douglas Blvd Ste 300
Roseville, CA 95661-3850 - Phone
- (855) 500-6463
- Fax
- (844) 553-6337
- NPI assigned
- Aug 10, 2015
- Last updated
- Mar 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark David Levine, MD
- Title
- President/Ceo
- Phone
- (530) 902-4976
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | NU | Primary | |
| Marriage & Family Therapist | 106H00000X | NU |
Addresses
Primary practice location
3017 Douglas Blvd Ste 300
Roseville, CA 95661-3850
Mailing address
26645 Normandy Rd
Franklin, MI 48025-1033
Phone (916) 241-9496
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Citrus Heights, CA
- NPI 1003417080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1215313523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26645 NORMANDY RD",
"city": "FRANKLIN",
"state": "MI",
"postal_code": "480251033",
"telephone_number": "916-241-9496",
"fax_number": "916-436-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3017 DOUGLAS BLVD STE 300",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613850",
"telephone_number": "855-500-6463",
"fax_number": "844-553-6337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK LEVINE M.D. MINDFULNESS ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-10",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "530-902-4976",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
- Marilyn R. Griffin, Marriage Family Therapy, P.C. (Wildflowers Psychotherapy, P.C.)
- Lily Ann Marino
- Kimberly A Marjama, N.P.
- Mark David Levine, MD Roseville PC (Community Psychiatry Associates)
- Mark H. Holt, DDS, Ms, Inc
- Tanya R Mark
- Christopher Joseph Markus, D.O
- Ryan Marmorstein
- T J Maroon II, M.D.
- Mary Marquardt, MA BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.