Organization Active NPI

Levine, Risen & Associates, Inc.

  • Clinical Psychologist
  • Beachwood, OH
National Provider Identifier
1366549487
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LEVINE, RISEN & ASSOCIATES, INC.
Practice address
23230 Chagrin Blvd
Suite 350
Beachwood, OH 44122-5446
Phone
(216) 831-2900
Fax
(216) 831-4306
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Candace B Risen, LISW
Title
Vice President
Phone
(216) 831-2900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

23230 Chagrin Blvd
Suite 350
Beachwood, OH 44122-5446

Mailing address

23230 Chagrin Blvd
Suite 350
Beachwood, OH 44122-5446
Phone (216) 831-2900

Other identifiers 1

IdentifierTypeStateIssuer
462685000OtherOHMAGELLAN

National Provider Directory

National Provider Directory

Locations

23425 Commerce Park
Ste 104
Beachwood, OH 44122
Phone (216) 831-2900

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1366549487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23230 CHAGRIN BLVD",
            "address_2": "SUITE 350",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225446",
            "telephone_number": "216-831-2900",
            "fax_number": "216-831-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23230 CHAGRIN BLVD",
            "address_2": "SUITE 350",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225446",
            "telephone_number": "216-831-2900",
            "fax_number": "216-831-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVINE, RISEN & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "RISEN",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "216-831-2900",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "462685000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.