Active NPI
Stephen Jay Levy, PH.D.
- Clinical Psychologist
- Nyack, NY
National Provider Identifier
1265452536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5388-1
- Practice address
- 101 Gednex Street
Apt 2K
Nyack, NY 10960 - Phone
- (845) 641-2860
- Fax
- (845) 624-3832
- NPI assigned
- Jul 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 005388 | NY | |
| Clinical Psychologist | 103TC0700X | 5388-1 | NY | Primary |
Addresses
Primary practice location
101 Gednex Street
Apt 2K
Nyack, NY 10960
Mailing address
101 Gednex Street
Apt 2K
Nyack, NY 10960
Phone (845) 641-2860
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 |
|---|---|---|---|
| 5388-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1265452536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GEDNEX STREET",
"address_2": "APT 2K",
"city": "NYACK",
"state": "NY",
"postal_code": "10960",
"telephone_number": "845-641-2860",
"fax_number": "845-624-3832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 GEDNEX STREET",
"address_2": "APT 2K",
"city": "NYACK",
"state": "NY",
"postal_code": "10960",
"telephone_number": "845-641-2860",
"fax_number": "845-624-3832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "STEPHEN",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "005388",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "5388-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.