Individual provider Active NPI

Susan A Levin, PH.D.

  • Clinical Psychologist
  • Boca Raton, FL
National Provider Identifier
1285850032
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0005517 Issued in FL
Practice address
7301 W Palmetto Park Rd
Ste 205a
Boca Raton, FL 33433-3458
Phone
(561) 417-0220
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY0005517 FL Primary

Addresses

Primary practice location

7301 W Palmetto Park Rd
Ste 205a
Boca Raton, FL 33433-3458

Mailing address

2200 NW Corporate Blvd
Ste 300
Boca Raton, FL 33431-7387
Phone (561) 417-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110805000609 FL Practitioner - Clinical Psychologist 2668641762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2201 NW Corporate Blvd
Suite 202
Boca Raton, FL 33431-7337
Phone (561) 417-0220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY0005517FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Levin, PH.D., P.a. Clinical CurrentSince Dec 20, 2010 Accepting new patients

Locations

2201 NW Corporate Blvd
Ste 202
Boca Raton, FL 33431
Phone (561) 499-6932

7301 W Palmetto Park Rd
Ste 205A
Boca Raton, FL 33433
Phone (561) 239-4062

Organizations & group practices 1

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1285850032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NW CORPORATE BLVD",
            "address_2": "STE 300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317387",
            "telephone_number": "561-417-0220",
            "fax_number": "561-807-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 W PALMETTO PARK RD",
            "address_2": "STE 205A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333458",
            "telephone_number": "561-417-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "SUSAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0005517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.