Active NPI
Susan Elizabeth Levin, PSYD
- Clinical Psychologist
- Madison, WI
National Provider Identifier
1598068777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2908-57
- Practice address
- 7617 Mineral Point Rd
Suite 300
Madison, WI 53717-1623 - Phone
- (608) 833-9290
- Fax
- (608) 833-9691
- NPI assigned
- Dec 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2908-57 | WI | Primary |
Addresses
Primary practice location
7617 Mineral Point Rd
Suite 300
Madison, WI 53717-1623
Mailing address
7617 Mineral Point Rd
Suite 300
Madison, WI 53717-1623
Phone (608) 833-9290
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2908-57 | WI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1598068777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7617 MINERAL POINT RD",
"address_2": "SUITE 300",
"city": "MADISON",
"state": "WI",
"postal_code": "537171623",
"telephone_number": "608-833-9290",
"fax_number": "608-833-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7617 MINERAL POINT RD",
"address_2": "SUITE 300",
"city": "MADISON",
"state": "WI",
"postal_code": "537171623",
"telephone_number": "608-833-9290",
"fax_number": "608-833-9691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-10",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "2908-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.