Individual provider Active NPI

William M. Levine, PSY. D.

  • Psychologist
  • Philadelphia, PA
National Provider Identifier
1861555666
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016536 Issued in PA
Practice address
8611 Germantown Ave
Philadelphia, PA 19118-2856
Phone
(215) 360-9663
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS016536 PA Primary

Addresses

Primary practice location

8611 Germantown Ave
Philadelphia, PA 19118-2856

Mailing address

8620 Evergreen PL
Philadelphia, PA 19118-3321
Phone (215) 360-9663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090409000567 PA Practitioner - Clinical Psychologist 6002963964 Reassigns benefits to 1 organization
Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

121 W Gravers Lane
Philadelphia, PA 19118-3805
Phone (215) 360-9663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS016536PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psycare Solutions Inc CurrentSince Feb 1, 2009 Accepting new patients

Locations

8302 Old York Rd
Ste B12
Elkins Park, PA 19027
Phone (215) 885-9700

1015 Chestnut St
Ste 403
Philadelphia, PA 19107
Phone (215) 625-9770

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1861555666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 EVERGREEN PL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183321",
            "telephone_number": "215-360-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182856",
            "telephone_number": "215-360-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "WILLIAM",
        "middle_name": "M.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.