Active NPI
Kimberly A Leventhal, M.D.
- Psychiatry Physician
- Salem, MA
National Provider Identifier
1982929394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 253816
- Practice address
- 55 Highland Ave
Suite 201
Salem, MA 01970-2185 - Phone
- (978) 825-6620
- NPI assigned
- Mar 30, 2010
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 253816 | MA | Primary |
Addresses
Primary practice location
55 Highland Ave
Suite 201
Salem, MA 01970-2185
Mailing address
55 Highland Ave
Suite 201
Salem, MA 01970-2185
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253816 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSPG Billing LLC | 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.
-
- Urology Physician
- Newburyport, MA
- NPI 1144981721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1982929394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 HIGHLAND AVE",
"address_2": "SUITE 201",
"city": "SALEM",
"state": "MA",
"postal_code": "019702185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 HIGHLAND AVE",
"address_2": "SUITE 201",
"city": "SALEM",
"state": "MA",
"postal_code": "019702185",
"telephone_number": "978-825-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVENTHAL",
"first_name": "KIMBERLY",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-30",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "253816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.