Active NPI
Sofia Levy
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
National Provider Identifier
1629636766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 406219
- Practice address
- 80 8TH Ave Ste 711
New York, NY 10011-7176 - Phone
- (917) 765-8579
- NPI assigned
- Jun 4, 2019
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95068550 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | 0024180101 | VA | |
| Primary Care Nurse Practitioner | 363LP2300X | 95012063 | CA | |
| Women's Health Nurse Practitioner | 363LW0102X | 0024180101 | VA | |
| Women's Health Nurse Practitioner | 363LW0102X | 95012063 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 406219 | NY | Primary |
Addresses
Primary practice location
80 8TH Ave Ste 711
New York, NY 10011-7176
Mailing address
80 8TH Ave Ste 711
New York, NY 10011-7176
Phone (917) 765-8579
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95068550 | CA | MD | Registered Nurse |
| 406219 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| 95012063 | CA | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1629636766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 8TH AVE STE 711",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100117176",
"telephone_number": "917-765-8579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 8TH AVE STE 711",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100117176",
"telephone_number": "917-765-8579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "SOFIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2024-07-30",
"certification_date": "2024-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95068550",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "VA",
"license": "0024180101",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95012063",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": "VA",
"license": "0024180101",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "95012063",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "406219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.