Individual provider Active NPI

Karen Levine, PHD

  • Clinical Psychologist
  • South Pasadena, CA
National Provider Identifier
1235220062
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
21013 Issued in CA
Practice address
428 Grand Ave
South Pasadena, CA 91030-1635
Phone
(213) 924-5003
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 016870 NY
Clinical Psychologist 103TC0700X 21013 CA Primary

Addresses

Primary practice location

428 Grand Ave
South Pasadena, CA 91030-1635

Mailing address

428 Grand Ave
South Pasadena, CA 91030-1635
Phone (213) 924-5003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221028000264 CA Practitioner - Clinical Psychologist 9436159803 Reassigns benefits to 1 organization
Practice locations: South Pasadena, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

428 Grand Ave
South Pasadena, CA 91030-1635
Phone 21392450031635

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21013CAMDClinical Psychologist
016870NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Levine PHD Teletherapy Services Professional Corporation Clinical CurrentSince Jun 26, 2022 Accepting new patients
Karen Levine PHD Psychology Professional Corporation Clinical CurrentSince Jun 26, 2022 Accepting new patients
Che Senior Psychological Services, PC Clinical PastSince Feb 2, 2020 Accepting new patients
Didi Hirsch Psychiatric Service Past Accepting new patients

Organizations & group practices 4

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1235220062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 GRAND AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910301635",
            "telephone_number": "213-924-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 GRAND AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910301635",
            "telephone_number": "213-924-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "KAREN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016870",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "21013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

Verify at the official NPI Registry.