Organization Active NPI

Shiraz Levkovich Psy D Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brookline, MA
National Provider Identifier
1376131698
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SHIRAZ LEVKOVICH PSY D INC
Practice address
1170 Beacon St Ste 301
Brookline, MA 02446-3963
Phone
(617) 249-4845
NPI assigned
Jan 3, 2021
Last updated
Feb 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Shiraz Levkovich, PSYDNPI 1831662774
Title
Owner, Director
Phone
(617) 758-9866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1170 Beacon St Ste 301
Brookline, MA 02446-3963

Mailing address

300 Chestnut Ave
Jamaica Plain, MA 02130-4414
Phone (617) 758-9866

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1609632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1376131698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CHESTNUT AVE",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304414",
            "telephone_number": "617-758-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 BEACON ST STE 301",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463963",
            "telephone_number": "617-249-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRAZ LEVKOVICH PSY D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-03",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "LEVKOVICH",
        "authorized_official_first_name": "SHIRAZ",
        "authorized_official_title_or_position": "OWNER, DIRECTOR",
        "authorized_official_telephone_number": "617-758-9866",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.