NPIMap

Organization Active NPI

Levin & Associates

  • Psychologist
  • Bridgeport, WV
National Provider Identifier
1487774394
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
237 Issued in WV
Legal business name
LEVIN & ASSOCIATES
Practice address
170 Thompson Dr
Suite 103
Bridgeport, WV 26330-2608
Phone
(304) 842-6609
Fax
(304) 842-6619
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Martin Levin, M.A.
Title
Owner
Phone
(304) 842-6609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 237 WV Primary

Addresses

Primary practice location

170 Thompson Dr
Suite 103
Bridgeport, WV 26330-2608

Mailing address

170 Thompson Dr
Suite 103
Bridgeport, WV 26330-2608
Phone (304) 842-6609

Other identifiers 1

IdentifierTypeStateIssuer
0162894000MedicaidWV

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487774394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 THOMPSON DR",
            "address_2": "SUITE 103",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263302608",
            "telephone_number": "304-842-6609",
            "fax_number": "304-842-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 THOMPSON DR",
            "address_2": "SUITE 103",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263302608",
            "telephone_number": "304-842-6609",
            "fax_number": "304-842-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVIN & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-842-6609",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WV",
            "license": "237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162894000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.