Active NPI
Mark David Levine, MD Menlo Park PC
- Psychiatry Physician
- Menlo Park, CA
National Provider Identifier
1235355694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MARK DAVID LEVINE, MD MENLO PARK PC
- Practice address
- 1600 Adams Dr
Menlo Park, CA 94025-1449 - Phone
- (650) 688-5890
- Fax
- (650) 688-5891
- NPI assigned
- Apr 17, 2007
- 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
- Dr. Mark David Levine, MD
- Title
- President
- Phone
- (415) 479-2960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
1600 Adams Dr
Menlo Park, CA 94025-1449
Mailing address
4626 2ND St
101
Davis, CA 95616-9446
Phone (530) 747-2022
Other names 1
- Community Psychiatry Associates, Menlo Park
National Provider Directory
National Provider DirectoryLocations
4626 2nd St
#101
Davis, CA 95618
1600 Adams Dr
Menlo Park, CA 94025
Phone (650) 688-5890
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Menlo Park, CA
- NPI 1871604108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235355694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4626 2ND ST",
"address_2": "101",
"city": "DAVIS",
"state": "CA",
"postal_code": "956169446",
"telephone_number": "530-747-2022",
"fax_number": "530-747-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 ADAMS DR",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940251449",
"telephone_number": "650-688-5890",
"fax_number": "650-688-5891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK DAVID LEVINE, MD MENLO PARK PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-479-2960",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Psychiatry Associates, Menlo Park",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.