Individual provider Active NPI

Alan William Levy, PH.D.

  • Clinical Psychologist
  • Costa Mesa, CA
National Provider Identifier
1598956526
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 3522 Issued in CA
Practice address
150 Paularino Ave
Suite 185
Costa Mesa, CA 92626-3301
Phone
(949) 689-6334
Fax
(949) 825-5973
NPI assigned
Aug 6, 2007
Last updated
Jan 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 3522 CA Primary

Addresses

Primary practice location

150 Paularino Ave
Suite 185
Costa Mesa, CA 92626-3301

Mailing address

5405 Alton Pkwy
Suite 238
Irvine, CA 92604-3717
Phone (951) 737-2683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130517000388 CA Practitioner - Clinical Psychologist 4385881986 Practice locations: Costa Mesa, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3151 Airway Ave
Suite A2
Costa Mesa, CA 92626-4620
Phone (949) 689-6334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3522CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Paularino Counseling LLC Clinical Current Accepting new patients

Locations

3151 Airway Ave
Ste A2
Costa Mesa, CA 92626
Phone (951) 323-3729

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1598956526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 ALTON PKWY",
            "address_2": "SUITE 238",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043717",
            "telephone_number": "951-737-2683",
            "fax_number": "949-825-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PAULARINO AVE",
            "address_2": "SUITE 185",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263301",
            "telephone_number": "949-689-6334",
            "fax_number": "949-825-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "ALAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 3522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.