Active NPI
Debra Levidow, PSYD
- Psychologist
- Scottsdale, AZ
National Provider Identifier
1962576520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3215
- Practice address
- 20624 N 76TH St
Scottsdale, AZ 85255 - Phone
- (602) 908-3414
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3215 | AZ | Primary |
Addresses
Primary practice location
20624 N 76TH St
Scottsdale, AZ 85255
Mailing address
15002 N 32ND St
Phoenix, AZ 85032-4441
Phone (602) 493-6310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 635344 | Other | AZ | AHCCCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260123000568 | AZ | Practitioner - Clinical Psychologist | 9739666454 | Practice locations: Scottsdale, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7789 E Tailspin LN
Scottsdale, AZ 85255-4674
Phone (602) 908-3414
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3215 | AZ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962576520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15002 N 32ND ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850324441",
"telephone_number": "602-493-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20624 N 76TH ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85255",
"telephone_number": "602-908-3414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIDOW",
"first_name": "DEBRA",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "3215",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "635344",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.