Individual provider Active NPI

Robert Levit, PH.D.

  • Clinical Psychologist
  • Los Gatos, CA
National Provider Identifier
1770960403
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY11220 Issued in CA
Practice address
20 S Santa Cruz Ave Ste 315
1
Los Gatos, CA 95030-6834
Phone
(408) 993-3840
Fax
(408) 356-8997
NPI assigned
May 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2015

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 PSY11220 CA Primary
Clinical Child & Adolescent Psychologist 103TC2200X PSY11220 CA

Addresses

Primary practice location

20 S Santa Cruz Ave Ste 315
1
Los Gatos, CA 95030-6834

Mailing address

20 S Santa Cruz Ave Ste 315
1
Los Gatos, CA 95030-6834
Phone (408) 993-3840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250801003334 CA Practitioner - Clinical Psychologist 9436667326 Practice locations: Los Gatos, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

451 Los Gatos Blvd
Suite 201
Los Gatos, CA 95032-5500
Phone (408) 993-3840

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11220CAMDAddiction (Substance Use Disorder) Counselor
PSY11220CAMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1770960403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S SANTA CRUZ AVE STE 315",
            "address_2": "1",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306834",
            "telephone_number": "408-993-3840",
            "fax_number": "408-356-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S SANTA CRUZ AVE STE 315",
            "address_2": "1",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306834",
            "telephone_number": "408-993-3840",
            "fax_number": "408-356-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIT",
        "first_name": "ROBERT",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY11220",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY11220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.