Active NPI
Cheryl Paula Levin, PH.D.
- Clinical Psychologist
- Sun City Ctr, FL
National Provider Identifier
1720177587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2117
- Practice address
- 916 Regal Manor Way
Sun City Ctr, FL 33573-6580 - Phone
- (617) 396-4695
- Fax
- (148) 478-4011
- NPI assigned
- Oct 12, 2006
- Last updated
- Jun 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2117 | MA | Primary |
Addresses
Primary practice location
916 Regal Manor Way
Sun City Ctr, FL 33573-6580
Mailing address
916 Regal Manor Way
Sun City Ctr, FL 33573-6580
Phone (617) 396-4695
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2117 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372032000000",
"number": "1720177587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 REGAL MANOR WAY",
"city": "SUN CITY CTR",
"state": "FL",
"postal_code": "335736580",
"telephone_number": "617-396-4695",
"fax_number": "148-478-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 REGAL MANOR WAY",
"city": "SUN CITY CTR",
"state": "FL",
"postal_code": "335736580",
"telephone_number": "617-396-4695",
"fax_number": "148-478-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "CHERYL",
"middle_name": "PAULA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2013-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "2117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun City Ctr, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.