Phyllis Ellen Levitt, MA LLP

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

6301007857 Issued in MI

Practice address

4592 Fairway RDG
West Bloomfield, MI 48323-3309

Phone

(248) 855-8442

NPI assigned

Jun 2, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1497981708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4592 FAIRWAY RDG",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233309",
            "telephone_number": "248-855-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4592 FAIRWAY RDG",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233309",
            "telephone_number": "248-855-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITT",
        "first_name": "PHYLLIS",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MA LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301007857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Leonti
• Hannah Joy Lerner, PA
• Kenneth J. Levin, M.D.
• Shelby A Levin
• Julie Levinson
• Rhonda Beth Levy-Larson, PH.D.
• Diane Levy-Rubinstein, MSW/LMSW
• Courtney Danielle Levy, MMS, PA-C, RD, CNSC
• Aaron Lewandowski, MD
• Laura Marie Lewellen, IBCLC

• Cognitive & Behavioral Psychologist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Cognitive & Behavioral Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.