Talilevinllc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TALILEVINLLC

Practice address

177 Meadowbrook Dr
Princeton, NJ 08540-3664

Phone

(609) 924-3615

NPI assigned

Dec 26, 2018

Organization subpart

No

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

Authorized official

Name

Avital Levin, LCSWNPI 1891914479

Title

Owner

Phone

(609) 924-3615

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Avital Levin, LCSW

  • Clinical Social Worker
  • Princeton, NJ
  • NPI 1891914479
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1942772389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 MEADOWBROOK DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403664",
            "telephone_number": "609-924-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 MEADOWBROOK DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403664",
            "telephone_number": "609-924-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALILEVINLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-26",
        "last_updated": "2018-12-26",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "AVITAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-924-3615",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamel Sweeney, PTA
• Brooke Sweet, PSY.D.
• Edward Szteinbaum, M.D.
• Sara Takla, LCSW
• Nancy L Talbot, PHD
• Siva Narayan Tallavajhala, R.PH.
• Tamerra P. Moeller, PHD, LLC
• Kevin Tan
• Sierra Tango, PA-C
• Sakina Mustafa Tayebali, PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.