Active NPI
Stephanie Levin Sandoz, PSY.D.
- Clinical Psychologist
- Irvine, CA
National Provider Identifier
1477574598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 15413
- Practice address
- 18662 Macarthur Blvd
430
Irvine, CA 92612-1200 - Phone
- (949) 862-5819
- NPI assigned
- Jul 22, 2006
- Sex
- Female
- 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 | PSY 15413 | CA | Primary |
Addresses
Primary practice location
18662 Macarthur Blvd
430
Irvine, CA 92612-1200
Mailing address
18662 Macarthur Blvd
430
Irvine, CA 92612-1200
Phone (949) 862-5819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY154130 | Medicaid | CA |
Other names 1
- Stephanie Carin Levin
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 15413 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477574598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18662 MACARTHUR BLVD",
"address_2": "430",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121200",
"telephone_number": "949-862-5819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18662 MACARTHUR BLVD",
"address_2": "430",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121200",
"telephone_number": "949-862-5819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOZ",
"first_name": "STEPHANIE",
"middle_name": "LEVIN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 15413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY154130",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "LEVIN",
"middle_name": "CARIN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.