Individual provider Active NPI

Ann B Leviness, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Litchfield, CT
National Provider Identifier
1215724588
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14619 Issued in CT
Practice address
462 South St
Litchfield, CT 06759-4019
Phone
(203) 788-5419
NPI assigned
Apr 21, 2025
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14619 CT Primary

Addresses

Primary practice location

462 South St
Litchfield, CT 06759-4019

Mailing address

462 South St
Litchfield, CT 06759-4019
Phone (203) 788-5419

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260130001629 CT Practitioner - Nurse Practitioner 3173001203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

969 W Main St
Suite 3a
Waterbury, CT 06708-2653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14619CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McCall Foundation, Inc. CurrentSince Dec 23, 2025 Accepting new patients
McCall Foundation Inc. CurrentSince Dec 23, 2025 Accepting new patients

Locations

58 High St
Torrington, CT 06790
Phone (860) 496-2107

969 W Main St
Waterbury, CT 06708
Phone (203) 206-2124

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1215724588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 SOUTH ST",
            "city": "LITCHFIELD",
            "state": "CT",
            "postal_code": "067594019",
            "telephone_number": "203-788-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 SOUTH ST",
            "city": "LITCHFIELD",
            "state": "CT",
            "postal_code": "067594019",
            "telephone_number": "203-788-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINESS",
        "first_name": "ANN",
        "middle_name": "B",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "14619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield, CT

Sources for this page

Verify at the official NPI Registry.