MITCHELL A LEVICK (NPI# 1427019462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427019462 |
| Entity Type | Individual |
| Full Name | MITCHELL A LEVICK |
| Credential | PHD |
| Practice Address |
4253 Montgomery Blvd Ne Ste. 220 Albuquerque NM 87109-1106 |
| Practice Telephone | 5053420400 |
| Practice Fax Number | 5053420500 |
| Mailing Telephone | 5053420400 |
| Mailing Fax Number | 5053420500 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2013-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | NM638 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | P0269 | 05 |
| Street Address |
4253 MONTGOMERY BLVD NE STE. 220 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174582118 | Neil S Arnet | Psychiatry & Neurology | 4253 Montgomery Blvd Ne, Suite 220, Albuquerque, NM 87109-1130 | 2006-03-20 |
| 1972057909 | Counseling With Love, LLC | Counselor | 4253 Montgomery Blvd Ne, Suite 230, Albuquerque, NM 87109-1106 | 2016-08-08 |
| 1821493503 | Milton C. Lasoski, Ph.d, LLC | Psychologist | 4253 Montgomery Blvd Ne, Suite 220, Albuquerque, NM 87109-1106 | 2014-10-24 |
| 1568874576 | Jessica Madrid | Counselor | 4253 Montgomery Blvd Ne, Suite 230, Albuquerque, NM 87109-1106 | 2014-05-24 |
| 1760702740 | Ronald Lee Timmcke | Counselor | 4253 Montgomery Blvd Ne, Suite 220, Albuquerque, NM 87109-1106 | 2010-06-01 |
| 1497808554 | Contact Lens Associates, LLC | Optometrist | 4253 Montgomery Blvd Ne, Suite 110, Albuquerque, NM 87109-1106 | 2007-01-19 |
| 1255480828 | Sara Louise Santilli | Registered Nurse | 4253 Montgomery Blvd Ne, Suite 100, Albuquerque, NM 87109-1106 | 2007-01-10 |
| 1770651135 | Alice J. Baumstark | Optometrist | 4253 Montgomery Blvd Ne, Suite 110, Albuquerque, NM 87109-1598 | 2006-12-01 |
| 1760550123 | Brian R. Seader | Optometrist | 4253 Montgomery Blvd Ne, Ste 110, Albuquerque, NM 87109-1113 | 2006-12-01 |
| 1275600637 | Ellen Kim | Family Medicine | 4253 Montgomery Blvd Ne, Suite 100, Albuquerque, NM 87109-1106 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124637541 | Behavioral Medicine and Assessment of New Mexico LLC | Psychologist | 3520 Calle Cuervo Nw, Albuquerque, NM 87114-9220 | 2020-07-31 |
| 1194287649 | Jennifer Nicole Crawford | Psychologist | Msc09 5030 1 Unm, Albuquerque, NM 87131 | 2019-04-03 |
| 1417425083 | Meredith Lynn Faith | Psychologist | 11109 Elvin Ave Ne, Albuquerque, NM 87112-3231 | 2018-11-12 |
| 1942695903 | Md24 Nm, Inc. | Psychologist | 6565 Americas Parkway Ne #200, Albuquerque, NM 87110 | 2015-04-06 |
| 1932507365 | Reflections Psychological Services, LLC | Psychologist | 3939 San Pedro Dr Ne Bldg C8, Albuquerque, NM 87110-8901 | 2014-12-17 |
| 1457772147 | Candyce Tart | Psychologist | 607 Richmond Dr Ne, Albuquerque, NM 87106-2148 | 2013-12-23 |
| 1043640493 | Kristin Lichtle | Psychologist | 906 Franciscan St Ne, Albuquerque, NM 87102-2416 | 2013-11-22 |
| 1104160910 | Mike Kim | Psychologist | 2900 Louisiana Boulevard Northeast, Suite C1, Albuquerque, NM 87110 | 2012-11-16 |
| 1134473762 | Joseph R Flippo | Psychologist | 2104 Rex Ct Ne, Albuquerque, NM 87112-3661 | 2012-11-05 |
| 1659638195 | Elizabeth Ann-claire Sullivan | Psychologist | 4701 Morris St Ne Apt 601, Albuquerque, NM 87111-7715 | 2012-04-23 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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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.