Organization Active NPI

Mark David Levine, M.D. Davis, Professional Corporation

  • Psychiatry Physician
  • Vacaville, CA
National Provider Identifier
1942562905
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MARK DAVID LEVINE, M.D. DAVIS, PROFESSIONAL CORPORATION
Practice address
1241 Alamo Dr
Ste 6
Vacaville, CA 95687-5620
Phone
(916) 576-7898
Fax
(916) 285-0338
NPI assigned
Jun 14, 2012
Organization subpart
Yes
Parent organization
MARK DAVID LEVINE, M.D. PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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 MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1241 Alamo Dr
Ste 6
Vacaville, CA 95687-5620

Mailing address

2081 Arena Blvd
Ste 160
Sacramento, CA 95834-2309
Phone (916) 576-7898

Other names 1

  • Community Psychiatry Doing business as

National Provider Directory

National Provider Directory
Part of
Mark David Levine MD PC

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1942562905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 ARENA BLVD",
            "address_2": "STE 160",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342309",
            "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": "1241 ALAMO DR",
            "address_2": "STE 6",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875620",
            "telephone_number": "916-576-7898",
            "fax_number": "916-285-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DAVID LEVINE, M.D. DAVIS, PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARK DAVID LEVINE, M.D. PROFESSIONAL CORPORATION",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-15",
        "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 MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.