Individual provider Active NPI

Robert Levine, PH.D., BCBA-D

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1598089492
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 25972 Issued in CA
Practice address
268 Bush St
Suite 3039
San Francisco, CA 94104-3503
Phone
(888) 362-3970
Fax
(508) 882-7687
NPI assigned
Mar 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 25972 CA Primary
Behavior Analyst 103K00000X 1-09-6462 CA

Addresses

Primary practice location

268 Bush St
Suite 3039
San Francisco, CA 94104-3503

Mailing address

268 Bush St
Suite 3039
San Francisco, CA 94104-3503
Phone (888) 362-3970

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
PSY 25972CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Red House Behavior Resources, Inc. Behavior Analyst Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1598089492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 BUSH ST",
            "address_2": "SUITE 3039",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043503",
            "telephone_number": "888-362-3970",
            "fax_number": "508-882-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 BUSH ST",
            "address_2": "SUITE 3039",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043503",
            "telephone_number": "888-362-3970",
            "fax_number": "508-882-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D., BCBA-D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-21",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 25972",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-09-6462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.