Individual provider Active NPI

Gale A Levin, M.D.

  • Psychiatry Physician
  • New Haven, CT
National Provider Identifier
1679508469
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
027286 Issued in CT
Practice address
211 Osborn Ave
New Haven, CT 06511-2850
Phone
(203) 654-9002
Fax
(203) 643-2073
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 027286 CT Primary

Addresses

Primary practice location

211 Osborn Ave
New Haven, CT 06511-2850

Mailing address

211 Osborn Ave
New Haven, CT 06511-2850
Phone (203) 654-9002

Other identifiers 7

IdentifierTypeStateIssuer
224740000OtherCTMAGELLAN FOR CHN
329553OtherCTVALU OPT CHN CT SAGA
CTGA000525OtherCTDMHAS
004212148MedicaidCT
B000698OtherCTDMHAS
00127286402OtherCTBC FAMILY PLAN
010027286CT08OtherCTANTHEM BEH, BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110412000748 CT Practitioner - Psychiatry 0749464980 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
027286CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Griffin Hospital Psychiatry CurrentSince Jan 1, 2018 Accepting new patients
The Connection Inc. Past Accepting new patients
The Connection Inc. Past Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

130 Division St
Derby, CT 06418
Phone (203) 732-1330

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1679508469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 OSBORN AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112850",
            "telephone_number": "203-654-9002",
            "fax_number": "203-643-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 OSBORN AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112850",
            "telephone_number": "203-654-9002",
            "fax_number": "203-643-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "GALE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "027286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN FOR CHN",
            "identifier": "224740000",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALU OPT CHN CT SAGA",
            "identifier": "329553",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMHAS",
            "identifier": "CTGA000525",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004212148",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMHAS",
            "identifier": "B000698",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FAMILY PLAN",
            "identifier": "00127286402",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BEH, BCBS",
            "identifier": "010027286CT08",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.