Gloria Ann Burgess Levin, PSYD LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP4100 Issued in MN

Practice address

1409 Willow Street
#610
Minneapolis, MN 55403-1955

Phone

(612) 871-2522

Fax

(612) 349-4616

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1609929330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 YALE PL",
            "address_2": "#1209",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554031901",
            "telephone_number": "612-332-4309",
            "fax_number": "612-349-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WILLOW STREET",
            "address_2": "#610",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554031955",
            "telephone_number": "612-871-2522",
            "fax_number": "612-349-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "GLORIA",
        "middle_name": "ANN BURGESS",
        "name_prefix": "Dr.",
        "credential": "PSYD LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison L Levahn, MD
• Lauren Ann Levandoski, M.S., R.D.
• Thomas Michael Leventhal, M.D.
• Erin G. Leverentz, M.D.
• Anna Levin, MD
• Robert Mead Levin, MD
• Trina S Levin, LICSW
• Amy Elizabeth Levine, MSW, LICSW
• Cynthia Rae Levine, CD(DONA)
• Erica Levine, MD

• Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.

Verify at the official NPI Registry.