Active NPI
Mark David Levine MD Woodland Professional Corporation
Doing business as Community Psychiatry
- Psychiatry Physician
- Davis, CA
National Provider Identifier
1669698098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MARK DAVID LEVINE MD WOODLAND PROFESSIONAL CORPORATION
- Doing business as
- Community Psychiatry
- Practice address
- 1712 Picasso Ave
Suite D
Davis, CA 95618-0546 - Phone
- (530) 297-7500
- Fax
- (530) 297-7751
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark David Levine, MD
- Title
- President
- Phone
- (916) 576-7898
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
1712 Picasso Ave
Suite D
Davis, CA 95618-0546
Mailing address
3841 N Freeway Blvd
Suite 120
Sacramento, CA 95834-1949
Phone (916) 576-7898
Other names 1
- Community Psychiatry
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376956800000",
"number": "1669698098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 N FREEWAY BLVD",
"address_2": "SUITE 120",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341949",
"telephone_number": "916-576-7898",
"fax_number": "916-285-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 PICASSO AVE",
"address_2": "SUITE D",
"city": "DAVIS",
"state": "CA",
"postal_code": "956180546",
"telephone_number": "530-297-7500",
"fax_number": "530-297-7751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK DAVID LEVINE MD WOODLAND PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2013-08-20",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-576-7898",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Psychiatry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.