Individual provider Active NPI

Robert Morton Leve, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Canton, CT
National Provider Identifier
1598038796
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
374 Issued in CT
Practice address
52 Woodchuck Hill Rd
Canton, CT 06019-2131
Phone
(860) 651-7648
NPI assigned
Feb 17, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 374 CT
Clinical Child & Adolescent Psychologist 103TC2200X 374 CT Primary

Addresses

Primary practice location

52 Woodchuck Hill Rd
Canton, CT 06019-2131

Mailing address

PO Box 605
West Simsbury, CT 06092-0605
Phone (860) 651-7648

Other names 1

  • Dr. Robert Leve Professional name

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 Philosophy

State licenses

LicenseStateTypeSpecialty
000374CTMDMental Health Counselor
374CTMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1598038796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605",
            "city": "WEST SIMSBURY",
            "state": "CT",
            "postal_code": "060920605",
            "telephone_number": "860-651-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 WOODCHUCK HILL RD",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192131",
            "telephone_number": "860-651-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVE",
        "first_name": "ROBERT",
        "middle_name": "MORTON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "374",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CT",
            "license": "374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "LEVE",
            "prefix": "DR.",
            "credential": ".PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Canton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.