Individual provider Active NPI

Michael Uri Levinson, MD

  • Psychiatry Physician
  • Burlingame, CA
National Provider Identifier
1306876883
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A63654 Issued in CA
Practice address
25 Edwards CT
Ste 101
Burlingame, CA 94010-2429
Phone
(415) 596-1151
Fax
(650) 727-0551
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A63654 CA Primary

Addresses

Primary practice location

25 Edwards CT
Ste 101
Burlingame, CA 94010-2429

Mailing address

PO Box 351
Burlingame, CA 94011-0351
Phone (415) 596-1151

Other identifiers 1

IdentifierTypeStateIssuer
HD085ZOtherCAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060213000739 CA Practitioner - PsychiatryPractitioner - Emergency MedicinePractitioner - Interventional Pain ManagementPractitioner - Addiction MedicinePractitioner - Pain ManagementPractitioner - NeurosurgeryPractitioner - General Practice 5991710923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine, General Practice, Pain Management
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Multi-Specialty Medical Clinic IncGroup PAC ID 4284879370, 3 clinicians

Practice addresses (Care Compare)

25 Edwards CT
Suite 101
Burlingame, CA 94010-2421
Phone (415) 596-1151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63654CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Multi-Specialty Medical Clinic, Inc Psychiatry CurrentSince Jan 13, 2013 Accepting new patients
Traditions Psychiatry Group, P.C Psychiatry Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

1783 El Camino Real
Burlingame, CA 94010
Phone (650) 696-5400

25 Edwards Ct
Ste 101
Burlingame, CA 94010
Phone (415) 596-1151

2299 Post St
Ste 104B
San Francisco, CA 94115
Phone (415) 407-3638

1477 Grove St
San Francisco, CA 94117
Phone (415) 563-0565

100 S San Mateo Dr
Ste 5184
San Mateo, CA 94401
Phone (415) 596-1151

Interoperability endpoints

  • Direct secure messaging: mlevinson48179@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1306876883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940110351",
            "telephone_number": "415-596-1151",
            "fax_number": "650-727-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 EDWARDS CT",
            "address_2": "STE 101",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102429",
            "telephone_number": "415-596-1151",
            "fax_number": "650-727-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINSON",
        "first_name": "MICHAEL",
        "middle_name": "URI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A63654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "HD085Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.