Active NPI
Jeffrey C Levenkron, PHD
- Clinical Psychologist
- Rochester, NY
National Provider Identifier
1417981952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7024
- Practice address
- 500 Helendale Rd
Suite 188
Rochester, NY 14609-3173 - Phone
- (585) 506-9610
- Fax
- (585) 506-9621
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7024 | NY | Primary |
Addresses
Primary practice location
500 Helendale Rd
Suite 188
Rochester, NY 14609-3173
Mailing address
500 Helendale Rd
Suite 188
Rochester, NY 14609-3173
Phone (585) 506-9610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7024 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354492800000",
"number": "1417981952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 HELENDALE RD",
"address_2": "SUITE 188",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146093173",
"telephone_number": "585-506-9610",
"fax_number": "585-506-9621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 HELENDALE RD",
"address_2": "SUITE 188",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146093173",
"telephone_number": "585-506-9610",
"fax_number": "585-506-9621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVENKRON",
"first_name": "JEFFREY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2012-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "7024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.