Michal Levi, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY31541 Issued in CA

Practice address

5252 Balboa Ave Ste 803
San Diego, CA 92117-6920

Phone

(858) 358-6551

Fax

(858) 216-1899

NPI assigned

Jan 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2023 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Michal 'Mica' Levi, PH.D. Psychological Services, Inc.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1487489118
  NPD Authorized official

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1982244273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 WALL ST STE 595",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374531",
            "telephone_number": "858-358-6551",
            "fax_number": "858-216-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 803",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176920",
            "telephone_number": "858-358-6551",
            "fax_number": "858-216-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVI",
        "first_name": "MICHAL",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY31541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephina Catherine Leveroni, LCSW
• Alecia Lanae Levesque, LVN
• Kyle Levesque, PPS
• Ryan Levey
• Jordan Pierce Levi
• Adam G Levie
• Maria de Lourdes Levin de Hernandez
• Aidan Levin
• Beth Levin
• Chelsea Levin

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.