Individual provider Active NPI

Sheldon C Levin, PH D

  • Clinical Neuropsychologist
  • Mt. Pleasant, SC
National Provider Identifier
1366504136
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
976 Issued in SC
Practice address
913 Bowman Rd.
Building #2
Mt. Pleasant, SC 29464-3235
Phone
(843) 216-2535
Fax
(843) 216-2528
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 02138 MD
Clinical Neuropsychologist 103G00000X 976 SC Primary

Addresses

Primary practice location

913 Bowman Rd.
Building #2
Mt. Pleasant, SC 29464-3235

Mailing address

3229 Pignatelli Crescent
Mt. Pleasant, SC 29466
Phone (843) 216-2535

Other identifiers 1

IdentifierTypeStateIssuer
PS0549MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110608000538 SC Practitioner - Clinical Psychologist 4789754219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Howard University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1156 Bowman Rd
Mt Pleasant, SC 29464-3803
Phone (843) 216-2535

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02138MDMDClinical Neuropsychologist
976SCMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheldon C. Levin PH.D., LLC Clinical Neuropsychologist CurrentSince Nov 1, 2010 Accepting new patients
Steven L. Strauss , M.D. ,L.L.C. Past Accepting new patients
The Neuroscience Team Inc. Clinical Neuropsychologist Past Accepting new patients

Locations

1156 Bowman Rd
Mt Pleasant, SC 29464
Phone (843) 216-2535

913 Bowman Rd
Bldg 2
Mt Pleasant, SC 29464
Phone (410) 746-8187

Organizations & group practices 3

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1366504136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 PIGNATELLI CRESCENT",
            "city": "MT. PLEASANT",
            "state": "SC",
            "postal_code": "29466",
            "telephone_number": "843-216-2535",
            "fax_number": "843-216-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 BOWMAN RD.",
            "address_2": "BUILDING #2",
            "city": "MT. PLEASANT",
            "state": "SC",
            "postal_code": "294643235",
            "telephone_number": "843-216-2535",
            "fax_number": "843-216-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "SHELDON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MD",
            "license": "02138",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "SC",
            "license": "976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS0549",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt. Pleasant, SC

Sources for this page

Verify at the official NPI Registry.