Organization Active NPI

Michal 'Mica' Levi, PH.D. Psychological Services, Inc.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1487489118
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MICHAL 'MICA' LEVI, PH.D. PSYCHOLOGICAL SERVICES, INC.
Practice address
5252 Balboa Ave Ste 803
San Diego, CA 92117-6920
Phone
(858) 358-6551
Fax
(858) 216-1899
NPI assigned
Sep 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Michal Levi, PHDNPI 1982244273
Title
President
Phone
(858) 358-6551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5252 Balboa Ave Ste 803
San Diego, CA 92117-6920

Mailing address

1130 Wall St Ste 595
La Jolla, CA 92037-4531
Phone (858) 358-6551

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1487489118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 WALL ST STE 595",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374531",
            "telephone_number": "858-358-6551",
            "fax_number": "858-216-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 803",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176920",
            "telephone_number": "858-358-6551",
            "fax_number": "858-216-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAL 'MICA' LEVI, PH.D. PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "MICHAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-358-6551",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.