Individual provider Active NPI

Steven P. Levine, M.D.

  • Psychiatry Physician
  • Princeton, NJ
National Provider Identifier
1477672913
Registry record updated Jan 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA08373700 Issued in NJ
Practice address
1 Palmer SQ E Ste 420
Princeton, NJ 08542-3718
Phone
(609) 430-0500
Fax
(609) 228-5959
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA08373700 NJ Primary

Addresses

Primary practice location

1 Palmer SQ E Ste 420
Princeton, NJ 08542-3718

Mailing address

1 Palmer SQ E Ste 420
Princeton, NJ 08542-3718
Phone (609) 430-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090326000200 NJ Practitioner - Psychiatry 6507923190 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Multispecialty Group Psychiatry CurrentSince May 1, 2020 Accepting new patients
Ketamine Treatment Centers of Princeton, LLC Psychiatry CurrentSince Nov 24, 2019 Accepting new patients
Ketamine Treatment Centers of Princeton, LLC Psychiatry Past Accepting new patients
Ketamine Treatment Centers of Princeton, LLC Psychiatry Past Accepting new patients
Ketamine Treatment Centers of Princeton, LLC Psychiatry Past Accepting new patients
Ketamine Treatment Centers of Princeton, LLC Psychiatry Past Accepting new patients

Locations

1122 Kenilworth Dr
Ste 418
Towson, MD 21204
Phone (410) 610-9135

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

800 Bunn Dr
Ste 304
Princeton, NJ 08540
Phone (609) 651-4429

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232323200000",
    "number": "1477672913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PALMER SQ E STE 420",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085423718",
            "telephone_number": "609-430-0500",
            "fax_number": "609-228-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PALMER SQ E STE 420",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085423718",
            "telephone_number": "609-430-0500",
            "fax_number": "609-228-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "STEVEN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2009-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08373700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.