Mark David Levine, Walnut Creek Professional Corp

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MARK DAVID LEVINE, WALNUT CREEK PROFESSIONAL CORP

Doing business as

Community Psychiatry Associates

Practice address

1021 First Street
Suite 5
Benicia, CA 94510

Phone

(707) 554-1146

Fax

(707) 747-1815

NPI assigned

Mar 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark David Levine, MDNPI 1437357951

Title

President

Phone

(916) 576-7898

Specialties & licenses 1

Addresses

Other names 1

• Community Psychiatry Associates Doing business as

Tax ID family

Community Psychiatry3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mark David Levine, MD Walnut Creek Professional Corporation

  • Psychiatry Physician
  • Walnut Creek, CA
  • NPI 1134364789
  NPD tax ID
• Mark David Levinemd, Walnut Creek, PC

  dba Community Psychiatry Associates

  • Psychiatry Physician
  • Walnut Creek, CA
  • NPI 1881849404
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark David Levine, M.D.

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1437357951
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1720259880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 N FREEWAY BLVD",
            "address_2": "SUITE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341949",
            "telephone_number": "916-576-7898",
            "fax_number": "916-285-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 FIRST STREET",
            "address_2": "SUITE 5",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "94510",
            "telephone_number": "707-554-1146",
            "fax_number": "707-747-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DAVID LEVINE, WALNUT CREEK PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-576-7898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Psychiatry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Made Whole Psychotherapy Services, Inc. (Made Whole Counseling Services)
• Janice Dee Magner, MFT
• Shelly Maramonte, M. D.
• Bala Chandran Marar, M.D
• Mark David Levine MD Vallejo Professional Corporation (Community Psychiatry)
• Mark Punzal Coaching LLC
• Andrea Markus, MPT
• Laura Marshall
• Angelina Mayse
• Eydee Mazenko

• Psychiatry Physician in Benicia, CA
• Providers in Benicia, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.