Active NPI
Simone Levinson, PSYD
- Psychologist
- Walnut Creek, CA
National Provider Identifier
1306053186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY26212
- Practice address
- 1470 Maria Lana Suite 200
Walnut Creek, CA 94596 - Phone
- (855) 500-6463
- Fax
- (844) 555-6337
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY26212 | CA | Primary |
Addresses
Primary practice location
1470 Maria Lana Suite 200
Walnut Creek, CA 94596
Mailing address
P.O. Box 242
Tecumseh, MI 49286
Phone (517) 467-9284
Other names 1
- Simone Levine
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY26212 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind to Mindful | Past | Accepting new patients |
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.
-
- Group Psychotherapy Psychologist
- Granite Bay, CA
- NPI 1063979839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1306053186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 242",
"city": "TECUMSEH",
"state": "MI",
"postal_code": "49286",
"telephone_number": "517-467-9284",
"fax_number": "844-553-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 MARIA LANA SUITE 200",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94596",
"telephone_number": "855-500-6463",
"fax_number": "844-555-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINSON",
"first_name": "SIMONE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY26212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SIMONE",
"last_name": "LEVINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.