Carly Levine, PSYD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

39168 Issued in TX

Practice address

4407 Bee Caves Rd Ste 422
West Lake Hills, TX 78746-6406

Phone

(512) 469-0535

NPI assigned

Jan 12, 2023

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

Medicare enrollment (NPD)

Not enrolled

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.

• Presence Wellness

  • Adult Psychiatric/Mental Health Registered Nurse
  • West Lake Hills, TX
  • NPI 1710522172
  NPD
• Ethos Prism, LLC

  • Adult Mental Health Clinic/Center
  • Houston, TX
  • NPI 1932761897
  NPD (past)

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1992419097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES RD STE 422",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES RD STE 422",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466406",
            "telephone_number": "512-469-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "CARLY",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "39168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leoness, PLLC
• Alexia Evanthia Leontoudis, BEHAVIOR TECHNICIAN
• Bruno Lepore, LPC
• Regan Lester-Rodriguez, PHD
• Ashley Leverich, DC
• Richard Burton Levinson, LCSW
• Breanna Lien, FNP-C
• Lifshen Family Clinic PA
• Brittany Lin, DDS
• Lindesmith Chiropractic, LLC

• Counseling Psychologist in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.