Individual provider Active NPI

Eva Leven, PSYD

  • Clinical Psychologist
  • Harleysville, PA
National Provider Identifier
1679843841
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS018823 Issued in PA
Practice address
304 Buckingham Cir
Harleysville, PA 19438-1958
Phone
(908) 720-5956
NPI assigned
Jan 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 021042 NY
Clinical Psychologist 103TC0700X 2015013944 MO
Clinical Psychologist 103TC0700X PS018823 PA Primary
Clinical Psychologist 103TC0700X 071009115 IL

Addresses

Primary practice location

304 Buckingham Cir
Harleysville, PA 19438-1958

Mailing address

304 Buckingham Cir
Harleysville, PA 19438-1958
Phone (908) 720-5956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NY, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150708002290 MO Practitioner - Clinical Psychologist 9638481369 Reassigns benefits to 1 organization
I20240220002245 NY Practitioner - Clinical Psychologist 9638481369 Reassigns benefits to 1 organization
I20240221004095 PA Practitioner - Clinical Psychologist 9638481369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

254 Old Nyack Tpke
Spring Valley, NY 10977-5741
Phone (845) 425-0982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071009115ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shiny Triangle LCSW PC CurrentSince Jan 9, 2024 Accepting new patients

Locations

110 Highland Ave
Valley Park, MO 63088
Phone (636) 225-5144

254 Old Nyack Tpke
Spring Valley, NY 10977
Phone (800) 747-4226

2200 Hill Church Houston Rd
#R
Canonsburg, PA 15317

Organizations & group practices 1

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": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1679843841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 BUCKINGHAM CIR",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381958",
            "telephone_number": "908-720-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 BUCKINGHAM CIR",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381958",
            "telephone_number": "908-720-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVEN",
        "first_name": "EVA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021042",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2015013944",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018823",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009115",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harleysville, PA

Sources for this page

Verify at the official NPI Registry.