Active NPI
Michael Levin, M.D.
- Child & Adolescent Psychiatry Physician
- Danville, CA
National Provider Identifier
1487712592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- G057528
- Practice address
- 860 Dolphin Dr
Danville, CA 94526-1826 - Phone
- (925) 886-9961
- NPI assigned
- Dec 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | G57528 | CA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | G057528 | CA | Primary |
Addresses
Primary practice location
860 Dolphin Dr
Danville, CA 94526-1826
Mailing address
1 Annabel LN Ste 214
San Ramon, CA 94583-4360
Phone (925) 264-4069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G57528 | Other | CA | CA STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | pediatricpsychiatryconsult.com | Direct |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G057528 | CA | MD | Child & Adolescent Psychiatry Physician |
| G57528 | CA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585008000000",
"number": "1487712592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ANNABEL LN STE 214",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834360",
"telephone_number": "925-264-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 DOLPHIN DR",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945261826",
"telephone_number": "925-886-9961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "G57528",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "G057528",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA STATE LICENSE",
"identifier": "G57528",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "pediatricpsychiatryconsult.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "860 Dolphin Dr",
"city": "Danville",
"state": "CA",
"country_code": "US",
"postal_code": "945261826",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Danville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.