NPIMap

Organization Active NPI

Mark David Levine, MD Newark PC

Doing business as Community Psychiatry Associates, Newark

  • Psychiatry Physician
  • Newark, CA
National Provider Identifier
1336365709
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MARK DAVID LEVINE, MD NEWARK PC
Doing business as
Community Psychiatry Associates, Newark
Practice address
39899 Balentine Dr
210
Newark, CA 94560-5355
Phone
(510) 657-9700
Fax
(510) 657-7335
NPI assigned
Apr 17, 2007
Last updated
Aug 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Dr. Mark David Levine, MDNPI 1437357951
Title
President
Phone
(916) 576-7898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

39899 Balentine Dr
210
Newark, CA 94560-5355

Mailing address

3841 N Freeway Blvd
120
Sacramento, CA 95834-1949
Phone (916) 576-7898

Other names 1

  • Community Psychiatry Associates, Newark Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120912000548 CA Part B Supplier - Clinic/Group Practice 0143478305 Receives reassigned benefits from 224 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory

Locations

2150 Shattuck Ave
Ste 725
Berkeley, CA 94704
Phone (510) 340-4202

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1336365709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 N FREEWAY BLVD",
            "address_2": "120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341949",
            "telephone_number": "916-576-7898",
            "fax_number": "916-285-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39899 BALENTINE DR",
            "address_2": "210",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605355",
            "telephone_number": "510-657-9700",
            "fax_number": "510-657-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DAVID LEVINE, MD NEWARK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-576-7898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Psychiatry Associates, Newark",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.