Individual provider Active NPI

Rhonda Beth Levy-Larson, PH.D.

  • Clinical Psychologist
  • West Bloomfield, MI
National Provider Identifier
1295711455
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301006751 Issued in MI
Practice address
7001 Orchard Lake Rd Ste 130
West Bloomfield, MI 48322-3605
Phone
(248) 661-3900
Fax
(248) 661-9209
NPI assigned
Dec 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 6301006751 MI
Psychologist 103T00000X 6301006751 MI
Clinical Psychologist 103TC0700X 6301006751 MI Primary

Addresses

Primary practice location

7001 Orchard Lake Rd Ste 130
West Bloomfield, MI 48322-3605

Mailing address

7001 Orchard Lake Rd Ste 130
West Bloomfield, MI 48322-3605
Phone (248) 661-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040108000476 MI Practitioner - Clinical Psychologist 6406755404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
R Franklin University of Med & Sci/Chicago Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BCS of Michigan LLCGroup PAC ID 0840503652, 41 clinicians

Practice addresses (Care Compare)

28 S Prospect St
Villa at Park Ridge
Ypsilanti, MI 48198-5616
Phone (734) 483-2220

Merit-based Incentive Payment System (MIPS)

Final score
75.05 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
40
Cost
83.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301006751MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
BCS of Michigan LLC Psychologist CurrentSince Aug 28, 2023 Accepting new patients
Geriatric Psychiatric Services PLLC Clinical Past Accepting new patients

Locations

3265 122nd Ave
#R2
Allegan, MI 49010
Phone (269) 673-2102

610 W Elm Ave
Monroe, MI 48162
Phone (734) 240-9670

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

5500 Fort St
Trenton, MI 48183
Phone (734) 287-3000

28 S Prospect St
Ypsilanti, MI 48198
Phone (734) 483-2220

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1295711455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 ORCHARD LAKE RD STE 130",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223605",
            "telephone_number": "248-661-3900",
            "fax_number": "248-661-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 ORCHARD LAKE RD STE 130",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223605",
            "telephone_number": "248-661-3900",
            "fax_number": "248-661-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY-LARSON",
        "first_name": "RHONDA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301006751",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301006751",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.