Active NPI
Maurice Adam Levy, PH.D.
- Cognitive & Behavioral Psychologist
- Claremont, CA
National Provider Identifier
1972637668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 016660-1
- Practice address
- 101 N Indian Hill Blvd Ste C1-200
Claremont, CA 91711-4667 - Phone
- (866) 200-9090
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 016660-1 | NY | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 29728 | CA | |
| Clinical Psychologist | 103TC0700X | 29728 | CA | |
| Clinical Psychologist | 103TC0700X | 016660-1 | NY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 29728 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 016660-1 | NY | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 29728 | CA | |
| School Psychologist | 103TS0200X | 29728 | CA | |
| School Psychologist | 103TS0200X | 0166601 | NY | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 016660-1 | NY | Primary |
Addresses
Primary practice location
101 N Indian Hill Blvd Ste C1-200
Claremont, CA 91711-4667
Mailing address
101 N Indian Hill Blvd
Ste- C1-200
Claremont, CA 91711
Phone (866) 200-9090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-5987838 | Other | NY | EMPLOYEE ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016660-1 | NY | MD | Psychologist |
| 29728 | CA | MD | Clinical Psychologist |
| 0166601 | NY | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arc Counseling and Wellness | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Claremont, CA
- NPI 1861139073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515024000000",
"number": "1972637668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N INDIAN HILL BLVD",
"address_2": "STE- C1-200",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "91711",
"telephone_number": "866-200-9090",
"fax_number": "516-468-6028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N INDIAN HILL BLVD STE C1-200",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917114667",
"telephone_number": "866-200-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "MAURICE",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2018-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "016660-1",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "29728",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "29728",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "016660-1",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "29728",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "016660-1",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "CA",
"license": "29728",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "29728",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "0166601",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "016660-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYEE ID #",
"identifier": "20-5987838",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Claremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.