Organization Active NPI

Oak Street Psychological Services

  • Clinical Psychologist
  • Binghamton, NY
National Provider Identifier
1679766471
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
OAK STREET PSYCHOLOGICAL SERVICES
Practice address
67 Oak St
Binghamton, NY 13905-4628
Phone
(607) 772-9710
Fax
(607) 772-2897
NPI assigned
Aug 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Authorized official

Name
Donald J. Levis, PH.D.
Title
Psychologist
Phone
(607) 772-9710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

67 Oak St
Binghamton, NY 13905-4628

Mailing address

67 Oak St
Binghamton, NY 13905-4628
Phone (607) 772-9710

National Provider Directory

National Provider Directory

Locations

67 Oak St
Binghamton, NY 13905
Phone (607) 772-9170

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1679766471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 OAK ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054628",
            "telephone_number": "607-772-9710",
            "fax_number": "607-772-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 OAK ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054628",
            "telephone_number": "607-772-9710",
            "fax_number": "607-772-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK STREET PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "LEVIS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "607-772-9710",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.