Kate Mercedes Levine, LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6361001566 Issued in MI

Practice address

3820 Packard St Ste 250
Ann Arbor, MI 48108-5017

Phone

(734) 780-7338

NPI assigned

Nov 7, 2016

Last updated

Dec 1, 2023By the provider in NPPES

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

Other names 1

• Mercedes Kolesnikova Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Center for Emdr and Trauma Therapy

  • Professional Counselor
  • Ann Arbor, MI
  • NPI 1649811845
  NPD

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1629510789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 PACKARD ST STE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085017",
            "telephone_number": "734-780-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 PACKARD ST STE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085017",
            "telephone_number": "734-780-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "KATE",
        "middle_name": "MERCEDES",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361001566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERCEDES",
            "last_name": "KOLESNIKOVA",
            "credential": "LLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Weinberg Levin, M.D.
• Vanessa Levine-Smith, MSW
• Deborah Allison Levine, MD
• Debra Siegel Levine
• Harry Levine, MD
• Kimberley J Levitt, M.D.
• Christina Schroeder Levleit, LMSW
• Joan Aline Levleit, NP
• Alyssa Levy-Hussen, LPC
• Julien Justin Santos Levy

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.