Individual provider Active NPI

Shellie-Anne Levy, PHD

  • Clinical Neuropsychologist
  • Gainesville, FL
National Provider Identifier
1699299081
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY9905 Issued in FL
Practice address
1600 SW Archer Rd # G-901
Gainesville, FL 32610-3003
Phone
(352) 265-0294
Fax
(352) 265-0096
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY9905 FL
Clinical Neuropsychologist 103G00000X PY9905 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd # G-901
Gainesville, FL 32610-3003

Mailing address

PO Box 100165
Gainesville, FL 32610-0165
Phone (617) 571-5928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170923000509 FL Practitioner - Clinical Psychologist 0042584427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Gainesville, FL 32610

PO Box
Suite 100371
Gainesville, FL 32610-0371

Merit-based Incentive Payment System (MIPS)

Final score
69.27 of 100Reported as group
Quality
95.72
Promoting interoperability
0
Improvement activities
40
Cost
78.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY9905FLMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Health Professions Association, Inc. Clinical CurrentSince Aug 9, 2017 Accepting new patients
Florida Health Professionals Association Inc CurrentSince Aug 9, 2017 Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

3450 Hull Rd
Gainesville, FL 32607
Phone (352) 273-7002

1600 SW Archer Rd
Rm G901
Gainesville, FL 32610
Phone (352) 265-0294

3009 SW Williston Rd
Gainesville, FL 32608
Phone (352) 294-5400

1600 SW Archer Rd
#G901
Gainesville, FL 32610
Phone (352) 265-0294

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": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1699299081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100165",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100165",
            "telephone_number": "617-571-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD # G-901",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-265-0294",
            "fax_number": "352-265-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "SHELLIE-ANNE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9905",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY9905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.