Individual provider Active NPI

Shoshana Levin

  • Psychiatric/Mental Health Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1689231987
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403141 Issued in NY
Practice address
1266 E Main St Ste 700R
Stamford, CT 06902-3507
Phone
(203) 200-0796
Fax
(203) 298-6880
NPI assigned
May 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 737368 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403141 NY Primary

Addresses

Primary practice location

1266 E Main St Ste 700R
Stamford, CT 06902-3507

Mailing address

1266 E Main St Ste 700R
Stamford, CT 06902-3507

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

State licenses

LicenseStateTypeSpecialty
737368NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Psychiatry PLLC Current Accepting new patients
Jewish Board of Family and Children's Services, Inc Past Accepting new patients

Locations

1266 E Main St
Ste 700R
Stamford, CT 06902
Phone (203) 340-0911

Organizations & group practices 2

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": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1689231987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 E MAIN ST STE 700R",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023507",
            "fax_number": "203-298-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 E MAIN ST STE 700R",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023507",
            "telephone_number": "203-200-0796",
            "fax_number": "203-298-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "SHOSHANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2025-07-07",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "737368",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.