Carol Ann Levett, PH.D.
Individual provider Active NPI Clinical Psychologist · West Coxsackie, NY
NPI 1730148404 · NPPES record last updated Dec 4, 2023
Key facts
- NPI
- 1730148404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 005385-01 (NY)
- Practice address
- 104 State Route 81
West Coxsackie, NY 12192-1202 - Phone
- (518) 755-7935
- Fax
- (518) 751-1317
- NPI assigned
- Mar 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
104 State Route 81
West Coxsackie, NY 12192-1202
Phone (518) 731-1955
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050207000546 | NY | Practitioner - Clinical Psychologist | 9335190461 | Practice locations: West Coxsackie, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005385 | NY | MD | Mental Health Counselor |
| 005385-1 | NY | MD | Psychologist |
| 005385-01 | NY | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 005385-1 | NY | |
| Clinical Psychologist | 103TC0700X | 005385-01 | NY | Yes |
Addresses
Primary practice location
104 State Route 81
West Coxsackie, NY 12192-1202
Mailing address
104 State Route 81
West Coxsackie, NY 12192-1202
Phone (518) 755-7935
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16412 | Other | NY | UBH |
| 22657 | Other | NY | BLUE SHIELD |
| 960145 | Other | NY | MVP |
| 10029317 | Other | NY | CDPHP |
| 131588 | Other | NY | VALUE OPTIONS |
| 0040520 | Other | NY | GHI |
| 00555371 | Medicaid | NY | |
| 142102000 | Other | NY | MAGELLAN |
| 16737 | Other | NY | MHN |
Other providers in West Coxsackie, NY
- Hoerning Pharma Inc
- Hoerning Pharmacy Inc
- Kellys Pharmacy Inc
- Charles Kite Jr.
- Laurie Knapp
- Dawn L Lindberg
- Paige Francine Lorette
- Hayley Madsen
- Shane Evander Martin
- Marvin a. Gertzberg, D.D.S.
All providers in West Coxsackie, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.