Provider Demographics
NPI:1528650728
Name:LEVINSON PSYCHOLOGY SERVICES, PLLC
Entity type:Organization
Organization Name:LEVINSON PSYCHOLOGY SERVICES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVINSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:914-815-0895
Mailing Address - Street 1:301 E 79TH ST APT 27H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0946
Mailing Address - Country:US
Mailing Address - Phone:914-815-0895
Mailing Address - Fax:
Practice Address - Street 1:301 E 79TH ST APT 27H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0946
Practice Address - Country:US
Practice Address - Phone:914-815-0895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty