Individual provider Active NPI

Phil S. Lebovitz, M.D.

  • Psychiatry Physician
  • Deerfield, IL
National Provider Identifier
1306901004
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
36043846 Issued in IL
Practice address
640 Robert York Ave Apt 407
Deerfield, IL 60015-4314
Phone
(312) 692-1500
Fax
(312) 692-6808
NPI assigned
Dec 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 36043846 IL
Psychiatry Physician 2084P0800X 36043846 IL Primary

Addresses

Primary practice location

640 Robert York Ave Apt 407
Deerfield, IL 60015-4314

Mailing address

640 Robert York Ave Apt 407
Deerfield, IL 60015-4314
Phone (312) 692-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 22, 2019 through Nov 22, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36043846ILMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1306901004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 ROBERT YORK AVE APT 407",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154314",
            "telephone_number": "312-692-1500",
            "fax_number": "312-692-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ROBERT YORK AVE APT 407",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154314",
            "telephone_number": "312-692-1500",
            "fax_number": "312-692-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOVITZ",
        "first_name": "PHIL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-25",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "IL",
            "license": "36043846",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "36043846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

Verify at the official NPI Registry.