Active NPI
Joel Kutner Levy, PH.D.
- Clinical Neuropsychologist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 23083
- Practice address
- 6315 Gulfton St Ste 100
Houston, TX 77081-1107 - Phone
- (713) 457-4372
- Fax
- (713) 457-0945
- NPI assigned
- Mar 30, 2007
- Last updated
- Jun 17, 2022
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 23083 | TX | Primary |
| Psychologist | 103T00000X | NU |
Addresses
Primary practice location
6315 Gulfton St Ste 100
Houston, TX 77081-1107
Mailing address
5534 Hummingbird St
Houston, TX 77096-4922
Phone (713) 569-9948
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620005535 | Other | TX | RAILROAD MEDICAREPROVIDER |
| 23083 | Other | TX | TEXAS PSYCHOLOGIST LIC. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6100 Hillcroft Ave
Suite 642
Houston, TX 77081-1009
Phone (713) 457-4372
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23083 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinghaven Counseling Group Inc | Clinical Neuropsychologist | Current | Accepting new patients |
| Baylor College of Medicine | Past | Accepting new patients | |
| Baylor College of Medicine | Past | Accepting new patients |
Locations
11811 FM 1960 Rd W
Ste 190
Houston, TX 77065
Phone (281) 894-4800
6100 Hillcroft Ave
Ste 642
Houston, TX 77081
6315 Gulfton St
Ste 100
Houston, TX 77081
Phone (713) 457-4357
2007 N Collins Blvd
Ste 303
Richardson, TX 75080
Phone (972) 947-4112
3025 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (214) 257-0682
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Management Agency
- Houston, TX
- NPI 1396807350
Clinical Neuropsychologist
-
- Ophthalmology Physician
- Houston, TX
- NPI 1457423949
-
- Neurology Physician
- Houston, TX
- NPI 1881624666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655424000000",
"number": "1588784664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5534 HUMMINGBIRD ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770964922",
"telephone_number": "713-569-9948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6315 GULFTON ST STE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770811107",
"telephone_number": "713-457-4372",
"fax_number": "713-457-0945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "JOEL",
"middle_name": "KUTNER",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2022-06-17",
"certification_date": "2022-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "TX",
"license": "23083",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICAREPROVIDER",
"identifier": "620005535",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS PSYCHOLOGIST LIC.",
"identifier": "23083",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.