Individual provider Active NPI

Cynthia Burton Levy, PHD

  • Clinical Psychologist
  • Dayton, OH
National Provider Identifier
1710151295
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2084 Issued in OH
Practice address
17 Irongate Park Dr
Dayton, OH 45459-4616
Phone
(937) 433-2053
Fax
(937) 434-7546
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2084 OH Primary

Addresses

Primary practice location

17 Irongate Park Dr
Dayton, OH 45459-4616

Mailing address

17 Irongate Park Dr
Dayton, OH 45459-4616
Phone (937) 433-2053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130521000694 OH Practitioner - Clinical Psychologist 6002054665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17 Irongate Park Dr
Dayton, OH 45459-4616
Phone (937) 433-2053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2084OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Levy & Schulz Inc Clinical CurrentSince Mar 21, 1994 Accepting new patients

Locations

17 Iron Gate Park Dr
Dayton, OH 45459
Phone (937) 241-7574

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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1710151295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 IRONGATE PARK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594616",
            "telephone_number": "937-433-2053",
            "fax_number": "937-434-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 IRONGATE PARK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594616",
            "telephone_number": "937-433-2053",
            "fax_number": "937-434-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "CYNTHIA",
        "middle_name": "BURTON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "2084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.