Individual provider Active NPI

Karen Levine, PHD

  • Psychologist
  • Pleasantville, NY
National Provider Identifier
1952380941
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0097281 Issued in NY
Practice address
20 Club CT
Pleasantville, NY 10570
Phone
(914) 238-8760
Fax
(914) 238-0963
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0097281 NY Primary

Addresses

Primary practice location

20 Club CT
Pleasantville, NY 10570

Mailing address

20 Club CT
Pleasantville, NY 10570-2351
Phone (914) 238-8760

Other practice location 1

598 Quaker Rd
Chappaqua, NY 10514-2015
Phone (814) 238-8760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170706000946 NY Practitioner - Clinical Psychologist 1658640792 Practice locations: Pleasantville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20 Club CT
Pleasantville, NY 10570-2351
Phone (914) 238-8760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0097281NYMDPsychologist
009728NYMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1952380941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CLUB CT",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702351",
            "telephone_number": "914-238-8760",
            "fax_number": "914-238-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CLUB CT",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "10570",
            "telephone_number": "914-238-8760",
            "fax_number": "914-238-0963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "598 Quaker Rd",
            "address_purpose": "LOCATION",
            "city": "Chappaqua",
            "state": "NY",
            "postal_code": "105142015",
            "country_code": "US",
            "telephone_number": "814-238-8760",
            "fax_number": "914-238-0963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "KAREN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "0097281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NY

Sources for this page

Verify at the official NPI Registry.