Mitchell A Levick, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

638 Issued in NM

Practice address

9201 Montgomery Blvd NE BLDG 1
Albuquerque, NM 87111-2468

Phone

(505) 342-0400

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Lawrence Harris Phdllc

  • Psychologist
  • Albuquerque, NM
  • NPI 1366531592
  NPD (past)
• Phoenix Group-Psychiatry and Psychotherapy Specialists, LTD

  • Psychologist
  • Albuquerque, NM
  • NPI 1902091622
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1427019462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20848",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871540848",
            "telephone_number": "505-342-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 MONTGOMERY BLVD NE BLDG 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112468",
            "telephone_number": "505-342-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVICK",
        "first_name": "MITCHELL",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P0269",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Level Acupuncture and Wellness LLC
• Level Physical Therapy LLC
• Eric R Levensky, PH.D.
• Lynn Anne Levey, LPCC
• Amy Jo Levi, CNM
• Charles Brooks Levin, MD
• Daniel Brooks Levin, MD
• Ethan C Levin, M.D.
• Peter Levin
• Sara Lottie Levin, NP-C

• Clinical Psychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.