DR. ROGER G LEVINE (NPI# 1245241181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245241181 |
| Entity Type | Individual |
| Full Name | DR. ROGER G LEVINE |
| Credential | MD |
| Practice Address |
4914 W Seneca Tpke Syracuse NY 13215-2225 |
| Practice Telephone | 3154692827 |
| Practice Fax Number | 8882248297 |
| Mailing Telephone | 3154692827 |
| Mailing Fax Number | 8882248297 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2011-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
172860-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01056995 | 05 |
| Street Address |
4914 W SENECA TPKE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13215-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164561536 | Johanna D Tarallo | Nurse Practitioner | 4914 W Seneca Tpke, Syracuse, NY 13215-2225 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367785 | Jeffrey Alan Gaulrapp | Registered Nurse | Upstate University Hospital Community General Campus, 4900 Broad Road, Syracuse, NY 13215 | 2020-05-08 |
| 1134752454 | Crystal Elizabeth Hoban | Marriage & Family Therapist | 4922 W. Seneca Turnpike, Syracuse, NY 13215 | 2020-02-14 |
| 1083004907 | Roger G Levine Md | Psychiatric Residential Treatment Facility | 4914 West Seneca Turnpkie, Syracuse, NY 13215 | 2015-01-30 |
| 1558771071 | Edleanna Robinson | Licensed Practical Nurse | 5075 W Seneca Turnpike, Syracuse, NY 13215 | 2014-05-06 |
| 1689013450 | Rhonda Lee Philopena | Emergency Medicine | 4900 Broad Rd 1st Fl, Syracuse, NY 13215 | 2013-06-14 |
| 1962778498 | Marie Anne Stevens | Licensed Practical Nurse | 4057 Seneca Tpk, Van Duyn Home and Hospital, Syracuse, NY 13215 | 2012-03-29 |
| 1033439088 | Anna-marie Simpson | Chiropractor | 4922 W Seneca Tpke, Syracuse, NY 13215 | 2010-06-01 |
| 1992028690 | A John Wylie | Pharmacist | 4840 Sherwood Dr., Syracuse, NY 13215 | 2010-03-09 |
| 1669616512 | Asalim A Thabet | Emergency Medicine | 4900 Braod Rd, 1st Fl, Syracuse, NY 13215 | 2009-04-22 |
| 1992948707 | Jesse Reed Gutnick | Surgery | 4900 Borad Rd, Suite 23 North, Syracuse, NY 13215 | 2009-04-08 |
| Find all providers in zip 13215 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679707772 | Mh-cny-fl Medical PC | Psychiatry & Neurology | 109 South Warren St., Suite 1605, Syracuse, NY 13202 | 2009-05-05 |
| 1437309135 | Rebecca Lori King | Psychiatry & Neurology | 713 Harrison Street, Syracuse, NY 13210 | 2008-09-30 |
| 1326223660 | Nanette Marie Dowling | Psychiatry & Neurology | 423 Brookford Rd, Syracuse, NY 13224-1805 | 2008-01-06 |
| 1174715114 | Zsuzsa Szombathyne Meszaros | Psychiatry & Neurology | 321 W Onondaga St, Suite 201, Syracuse, NY 13202-3207 | 2007-08-14 |
| 1497858674 | Thomas M Maltese | Psychiatry & Neurology | 620 Madison St., Hutchings Psychiatric Center, Syracuse, NY 13210-1811 | 2006-09-06 |
| 1184734469 | Joyce S Garber | Psychiatry & Neurology | 120 East Washington St, Suite 423, Syracuse, NY 13202-4006 | 2006-08-30 |
| 1144337163 | Jane Kou | Psychiatry & Neurology | 610 S Salina St, Syracuse, NY 13202-3524 | 2006-08-24 |
| 1295760569 | Carl C Spencer Jr. | Psychiatry & Neurology | 109 South Warren Street, Suite No 1016a, Syracuse, NY 13202 | 2006-07-12 |
| 1427029727 | Riaz Sibtain Syed | Psychiatry & Neurology | 109 S Warren St, Suite 1605, Syracuse, NY 13202-1798 | 2006-01-27 |
| 1356331599 | Veena Kayastha | Psychiatry & Neurology | 600 E Genesee St, Suite 210, Syracuse, NY 13202-3130 | 2005-10-27 |
| Find all providers in SYRACUSE | ||||
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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.