Active NPI
Elizabeth Levy, PH.D.
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1982609400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 30923
- Practice address
- 9701 Brodie LN
Ste 205
Austin, TX 78748-6282 - Phone
- (512) 420-8444
- Fax
- (512) 233-2961
- NPI assigned
- Jun 21, 2005
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 30923 | TX | Primary |
Addresses
Primary practice location
9701 Brodie LN
Ste 205
Austin, TX 78748-6282
Mailing address
9701 Brodie LN
Ste 205
Austin, TX 78748-6282
Phone (512) 420-8444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031507901 | Medicaid | TX | |
| 031507902 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5225 N Lamar Blvd
Austin, TX 78751-1820
Phone (512) 472-4357
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30923 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Travis County Mental Health and Mental Retardation Center | Clinical | Current | Accepting new patients |
| Austin Travis County Mental Health and Mental Retardation Center | Current | Accepting new patients |
Locations
5225 N Lamar Blvd
Austin, TX 78751
Phone (512) 483-5800
6222 N Lamar Blvd
Austin, TX 78752
Phone (512) 206-4062
1430 Collier St
Austin, TX 78704
Phone (512) 427-4357
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Austin, TX
- NPI 1750337259
Clinical
-
- Clinical Psychologist
- Austin, TX
- NPI 1255759239
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Austin, TX
- NPI 1053632505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1982609400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9701 BRODIE LN",
"address_2": "STE 205",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787486282",
"telephone_number": "512-420-8444",
"fax_number": "512-233-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9701 BRODIE LN",
"address_2": "STE 205",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787486282",
"telephone_number": "512-420-8444",
"fax_number": "512-233-2961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-21",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "30923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031507901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031507902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.