Organization Active NPI

Mark David Levine, MD Tracy PC

  • Psychiatry Physician
  • Tracy, CA
National Provider Identifier
1902022213
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MARK DAVID LEVINE, MD TRACY PC
Doing business as
Community Psychiatry Associates, Tracy
Practice address
28465 S Chrisman Rd
Tracy, CA 95304-8101
Phone
(916) 576-7898
Fax
(916) 285-0338
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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
(916) 576-7898

Specialties & licenses 1

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

Addresses

Primary practice location

28465 S Chrisman Rd
Tracy, CA 95304-8101

Mailing address

3835 N Freeway Blvd
100
Sacramento, CA 95834-1928
Phone (916) 576-7898

Other names 1

  • Community Psychiatry Associates, Tracy Doing business as

National Provider Directory

National Provider Directory

Locations

28465 S Chrisman Rd
Tracy, CA 95304
Phone (916) 576-7898

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1902022213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD",
            "address_2": "100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341928",
            "telephone_number": "916-576-7898",
            "fax_number": "916-285-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28465 S CHRISMAN RD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953048101",
            "telephone_number": "916-576-7898",
            "fax_number": "916-285-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DAVID LEVINE, MD TRACY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2015-10-13",
        "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": "916-576-7898",
        "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, Tracy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.