Individual provider Active NPI

Carin Levine Ehrenberg, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1326682824
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
013647-1 Issued in NY
Practice address
275 7TH Ave RM 2501
New York, NY 10001-8400
Phone
(917) 743-1222
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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 013647-1 NY Primary

Addresses

Primary practice location

275 7TH Ave RM 2501
New York, NY 10001-8400

Mailing address

323 W 22ND St
New York, NY 10011-2891
Phone (917) 743-1222

Other identifiers 1

IdentifierTypeStateIssuer
013647-1OtherNYNEW YORK STATE

Other names 1

  • Dr. Carin Levine Professional name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
013647-1NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1326682824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W 22ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112891",
            "telephone_number": "917-743-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 7TH AVE RM 2501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100018400",
            "telephone_number": "917-743-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRENBERG",
        "first_name": "CARIN",
        "middle_name": "LEVINE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013647-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE",
            "identifier": "013647-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARIN",
            "last_name": "LEVINE",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.