Leva Neuroscience LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LEVA NEUROSCIENCE LLC

Practice address

1817 Lewis Turner Blvd Ste D
Fort Walton Beach, FL 32547-1349

Phone

(561) 727-0040

NPI assigned

Dec 20, 2023

Organization subpart

No

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

Authorized official

Name

Pashia GroomNPI 1972696839

Title

Owner

Phone

(850) 495-4908

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pashia D Groom, PHD

  • Clinical Psychologist
  • Pensacola, FL
  • NPI 1972696839
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1841068772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 LEWIS TURNER BLVD STE D",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 LEWIS TURNER BLVD STE D",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471349",
            "telephone_number": "561-727-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVA NEUROSCIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "GROOM",
        "authorized_official_first_name": "PASHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-495-4908"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leif Erik Sternung
• Delisha Woodson Leon
• Mary Elizabeth Leonpacher
• Arthur Herbert Lester, M.D.
• Ana E Leurinda, M.D.
• Joseph E Levine, M.D.
• Anna Lewis
• Iman Lewis, PTA
• Jennifer Lewis
• Leah Quinn Lewis, AU.D.

• Psychiatry Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.