Organization Active NPI

Mark David Levine, a Professional Corp

Doing business as Community Psychiatry Associates

  • Psychiatry Physician
  • Lafayette, CA
National Provider Identifier
1376714865
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MARK DAVID LEVINE, A PROFESSIONAL CORP
Doing business as
Community Psychiatry Associates
Practice address
1043 Stuart St
Suite 230
Lafayette, CA 94549-4017
Phone
(925) 299-9033
Fax
(925) 299-9030
NPI assigned
Mar 12, 2008
Last updated
Mar 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. Mark David Levine, MD
Title
President
Phone
(510) 486-1182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1043 Stuart St
Suite 230
Lafayette, CA 94549-4017

Mailing address

4626 2ND St
Suite 110
Davis, CA 95618-9400
Phone (510) 486-1182

Other names 1

  • Community Psychiatry Associates Doing business as

National Provider Directory

National Provider Directory

Locations

4627 Fermi Pl
Ste 110
Davis, CA 95618
Phone (530) 753-2787

1043 Stuart St
Ste 230
Lafayette, CA 94549
Phone (925) 299-9033

Practitioners & affiliated clinicians

Practitioners 3

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": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1376714865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 2ND ST",
            "address_2": "SUITE 110",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956189400",
            "telephone_number": "510-486-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 STUART ST",
            "address_2": "SUITE 230",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494017",
            "telephone_number": "925-299-9033",
            "fax_number": "925-299-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DAVID LEVINE, A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "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": "510-486-1182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Psychiatry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.