Active NPI
Wendy Levy, PSYD
- Clinical Psychologist
- Westport, CT
National Provider Identifier
1619208774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 002080
- Practice address
- 31 Imperial Ave
Westport, CT 06880-4303 - Phone
- (203) 221-8377
- Fax
- (203) 226-8967
- NPI assigned
- Jan 28, 2010
- Last updated
- Jan 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 002080 | CT | Primary |
Addresses
Primary practice location
31 Imperial Ave
Westport, CT 06880-4303
Mailing address
31 Imperial Ave
Westport, CT 06880-4303
Phone (203) 221-8377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 11, 2023 through Dec 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002080 | CT | MD | Clinical Psychologist |
| 2080 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264636800000",
"number": "1619208774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 IMPERIAL AVE",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068804303",
"telephone_number": "203-221-8377",
"fax_number": "203-226-8967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 IMPERIAL AVE",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068804303",
"telephone_number": "203-221-8377",
"fax_number": "203-226-8967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "WENDY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-28",
"last_updated": "2010-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "002080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.