Organization Active NPI

Mark David Levinemd, Walnut Creek, PC

  • Psychiatry Physician
  • Walnut Creek, CA
National Provider Identifier
1881849404
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MARK DAVID LEVINEMD, WALNUT CREEK, PC
Practice address
130 La Casa Via
Suite: 2-208
Walnut Creek, CA 94598-3045
Phone
(925) 299-9033
Fax
(925) 299-9030
NPI assigned
Nov 24, 2008
Organization subpart
Yes
Parent organization
COMMUNITY PSYCHIATRY ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Dr. Mark David Levine, MD
Title
President
Phone
(510) 486-1182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

130 La Casa Via
Suite: 2-208
Walnut Creek, CA 94598-3045

Mailing address

2081 Arena Blvd
Suite: 160
Sacramento, CA 95834-2309
Phone (916) 285-8977

Other names 1

  • Community Psychiatry Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Psychiatry3 organizations share this tax ID, including this one
Part of
Mark David Levine MD Psy

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

130 La Casa Via
Ste 2208
Walnut Creek, CA 94598
Phone (925) 299-9033

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1881849404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 ARENA BLVD",
            "address_2": "SUITE: 160",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342309",
            "telephone_number": "916-285-8977",
            "fax_number": "916-285-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA",
            "address_2": "SUITE: 2-208",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983045",
            "telephone_number": "925-299-9033",
            "fax_number": "925-299-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DAVID LEVINEMD, WALNUT CREEK, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY PSYCHIATRY ASSOCIATES",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-486-1182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Psychiatry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.