Active NPI
Shiraz Levkovich, PSYD
- Clinical Psychologist
- Brookline, MA
National Provider Identifier
1831662774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10977
- Practice address
- 1170 Beacon St Ste 301
Brookline, MA 02446-3963 - Phone
- (617) 249-4845
- NPI assigned
- Jan 3, 2019
- 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 | 10977 | MA | Primary |
Addresses
Primary practice location
1170 Beacon St Ste 301
Brookline, MA 02446-3963
Mailing address
300 Chestnut Ave
Jamaica Plain, MA 02130-4414
Phone (617) 758-9866
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shiraz Levkovich Psy D Inc | Current | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brookline, MA
- NPI 1376131698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1831662774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CHESTNUT AVE",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021304414",
"telephone_number": "617-758-9866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 BEACON ST STE 301",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463963",
"telephone_number": "617-249-4845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVKOVICH",
"first_name": "SHIRAZ",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-03",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.