DR. ANDREW JEREMIAH LEVINE (NPI# 1003807876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003807876 |
| Entity Type | Individual |
| Full Name | DR. ANDREW JEREMIAH LEVINE |
| Credential | PH.D. |
| Practice Address |
801 Crescent Way Ste 3 Arcata CA 95521-6781 |
| Practice Telephone | 1562477596 |
| Mailing Telephone | 5624775463 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY20320 | CA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PSY20320 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1050 Roswell Ave, Long Beach, CA 908044213 | 5624775463 | 5102802993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548703630 | Andrew Levine | Social Worker | 1206 Anthony Rd, Augusta, GA 30904-4402 | 2016-11-22 |
| 1346393543 | Andrew Levine | Dentist | 11203 N 56th St, Temple Terrace, FL 33617-2256 | 2007-01-19 |
| 1285781872 | Andrew Stephen Levine | Orthopaedic Surgery | 5959 West Loop S Ste 375, Bellaire, TX 77401-2403 | 2007-01-04 |
| 1609930981 | Andrew M Levine | Social Worker | 70 Ashburton Ave, Yonkers, NY 10701-2916 | 2006-12-20 |
| 1972574010 | Andrew Levine | Internal Medicine | 4717 S Sugar Rd, Ste. H, Edinburg, TX 78539-7012 | 2006-01-27 |
| 1841780889 | Andrew Gould Levine | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2018-05-15 |
| 1588011548 | Andrew Levine | Dentist | 7485 Vanderbilt Beach Rd, Naples, FL 34119-1407 | 2016-05-19 |
| 1649516477 | Andrew Alec Levine | Veterinarian | 1401 Absecon Blvd, Atlantic City, NJ 08401-1902 | 2012-12-26 |
| 1194050161 | Andrew Levine | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2009-10-08 |
| 1801095823 | Andrew Edward Levine | Internal Medicine | 136 E 57th St, Suite 600, New York, NY 10022-2707 | 2007-07-11 |
| Street Address |
801 CRESCENT WAY STE 3 |
| City | ARCATA |
| State | CA |
| Zip Code | 95521-6781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275197360 | Elizabeth Mccallion | Psychologist | 801 Crescent Way Ste 3, Arcata, CA 95521-6781 | 2019-04-24 |
| 1336423524 | Katherine Rosemary O'connell | Psychologist | 801 Crescent Way Ste 3, Arcata, CA 95521-6781 | 2011-10-05 |
| 1215248000 | Humboldt Family Service Center | Counselor | 801 Crescent Way Ste 3, Arcata, CA 95521-6781 | 2010-06-25 |
| 1962633982 | Alicia Laguna | Marriage & Family Therapist | 801 Crescent Way Ste 3, Arcata, CA 95521-6781 | 2009-08-07 |
| 1407039787 | Elizabeth Marie Thompson | Psychologist | 801 Crescent Way Ste 3, Arcata, CA 95521 | 2007-12-10 |
| 1427176858 | Joy Elizabeth Morgan | Psychologist | 801 Crescent Way Ste 3, Arcata, CA 95521-6781 | 2007-03-26 |
| 1992847628 | Maryjo Stepp | Counselor | 801 Crescent Way Ste 3, Arcata, CA 95521-6781 | 2007-02-12 |
| 1568481349 | Avril C. Freeman | Physical Therapist | 801 Crescent Way Ste 3, Arcata, CA 95521-6781 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553736 | Mcc Medical, LLC | Durable Medical Equipment & Medical Supplies | Mcc Medical, LLC, 1565 J Street, Arcata, CA 95521 | 2019-08-16 |
| 1376008599 | Nathan Klier | Behavior Technician | 901 Ost, Arcata, CA 95521 | 2019-02-01 |
| 1740753995 | Maria Sophia Stathos | Behavior Technician | 901 0 Street, Suite C, Arcata, CA 95521 | 2019-01-09 |
| 1639674146 | Choong Yuk Kim | Psychologist | 381 Bayside Rd Ste B, Arcata, CA 95521 | 2018-03-27 |
| 1194089805 | Gary Wilson Barsuaskas | Nurse Practitioner | 4677 Valley West Blvd., Arcata, CA 95521 | 2012-06-27 |
| 1265708424 | Alison Marie Palacios | Family Medicine | 3798 Janes Rd. Suite 10, Arcata, CA 95521 | 2012-03-31 |
| 1538434857 | Kristen Noell Kelley | Behavioral Analyst | 901 O Street, Suite C, Arcata, CA 95521 | 2012-03-20 |
| 1518241264 | Brian D. Lieberman | Psychologist | 730 Bayside Rd, Apt A, Arcata, CA 95521 | 2011-09-29 |
| 1427369412 | John S Yamas | Acupuncturist | 1460 G. Street, Arcata, CA 95521 | 2010-06-24 |
| 1669619391 | Kevin John Mcalerney | Massage Therapist | 770 11th Street, Lost Coast Healing Arts, Arcata, CA 95521 | 2009-01-16 |
| Find all providers in zip 95521 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.