Shirley Levy, PHD
Individual provider Active NPI Clinical Psychologist · Durate, CA
NPI 1336244185 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1336244185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PX009285 (CA)
- Practice address
- 2335 South Mountain Ave
Durate, CA 91010 - Phone
- (626) 357-3207
- Fax
- (626) 301-9590
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PX009285 | CA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PX009285 | CA | Yes |
Addresses
Primary practice location
2335 South Mountain Ave
Durate, CA 91010
Mailing address
13263 Ventura Blvd
#2
Studio City, CA 91604-1839
Phone (818) 501-6090
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PX009285O | Medicaid | CA |
Other providers in Durate, CA
All providers in Durate, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.