DR. ELLEN GAIL LEVINE (NPI# 1457439341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457439341 |
| Entity Type | Individual |
| Full Name | DR. ELLEN GAIL LEVINE |
| Credential | PH.D., M.P.H. |
| Practice Address |
25047 Fairview Ave Hayward CA 94542-1339 |
| Mailing Address |
Po Box 2278 Castro Valley CA 94546-0278 |
| Practice Telephone | 5108897494 |
| Practice Fax Number | 5108897494 |
| Mailing Telephone | 5108897494 |
| Mailing Fax Number | 5108897494 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
PSY12356 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962875443 | Ellen Levine | Massage Therapist | 434 Hasbrouck Blvd, Oradell, NJ 07649-2210 | 2015-11-05 |
| 1942506662 | Ellen Levine | Specialist/Technologist | 2714 Bainbridge Ave Apt 1e, Bronx, NY 10458-4041 | 2011-01-27 |
| 1942414917 | Ellen Greenberg Levine | Psychiatry & Neurology | 179 South Maple Avenue, Ridgewood, NJ 07450 | 2007-05-09 |
| 1467520510 | Ellen Ruth Levine | Psychologist | 1841 Broadway Fourth Floor, Co Icp, Ny, NY 10023 | 2006-11-30 |
| 1982201539 | Ellen Levine | Social Worker | 22655 Washington St, Leonardtown, MD 20650-3848 | 2020-10-07 |
| 1780155317 | Ellen Levine | Social Worker | 118 Wells St, Toronto, ONTARIO M5R 1P3 | 2018-12-07 |
| 1245776707 | Ellen Levine | Social Worker | 4130 Lindell Blvd, Saint Louis, MO 63108-2914 | 2017-01-09 |
| 1477565307 | Ellen Hassert Levine | Physical Therapist | 5550 Kirkwood Hwy, Wilmington, DE 19808-5002 | 2006-08-12 |
| Street Address |
25047 FAIRVIEW AVE |
| City | HAYWARD |
| State | CA |
| Zip Code | 94542-1339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225453095 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 27971 Fairview Ave, Hayward, CA 94542 | 2014-03-03 |
| 1023312139 | Ashley Seo | Acupuncturist | 25538 Del Mar Avenue,apt 6, Hayward, CA 94542 | 2011-01-04 |
| 1528293438 | Michelle Renee Longo | Counselor | 25200 Carlos Bee Blvd Apt413, Hayward, CA 94542 | 2009-05-20 |
| 1356406649 | Rita Lafaye Davis Marten | Nurse Practitioner | 700 Adeline Street, West Oakland Health Council, Oakland, CA 94542 | 2006-12-27 |
| 1578575445 | Benjamin Wolsztejn | Obstetrics & Gynecology | 26929 Halifax Place, Hayward, CA 94542 | 2006-08-12 |
| 1366422776 | California State University East Bay | Clinic/Center | 25800 Carlos Bee Blvd, Hayward, CA 94542 | 2006-01-20 |
| 1871922450 | Edrose Perez Retodo | Nurse Practitioner | 24301 Southland Drive, Suite 213, Hayward, CA 94542 | 2013-11-05 |
| 1477703726 | Kristal Teamer | Counselor | 2495 Oakes Dr, Hayward, CA 94542 | 2008-09-23 |
| 1275194318 | Nicole Marie Griffiths | Behavior Technician | 24574 Leona Dr, Hayward, CA 94542-1010 | 2019-06-27 |
| 1386954642 | Nhi Xuan Huynh | Dentist | 3400 Sonoma Blvd., Vallejo, CA 94542-1050 | 2010-10-20 |
| Find all providers in zip 94542 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497607 | Michael J Hurtado | Psychologist | 5597 W Vartikian Ave, Fresno, CA 93722-3145 | 2020-11-06 |
| 1396374054 | Mark A Amparo | Psychologist | 5222 Balboa Ave Ste 33, San Diego, CA 92117-6953 | 2020-04-05 |
| 1043844459 | Nickolas Sloan Huston | Psychologist | 2371 W Main St Spc 57, Barstow, CA 92311-3614 | 2020-02-24 |
| 1366080418 | Denise Cherelle Rollins | Psychologist | 8619 Culpepper Dr, Sacramento, CA 95823-7658 | 2019-12-18 |
| 1124671136 | Ivan Butrus | Psychologist | 1516 Granite Hills Dr # Drb, El Cajon, CA 92019-5300 | 2019-07-18 |
| 1821659517 | Teresa Malyka Cheam | Psychologist | 301 The City Drive, Orange, CA 92868-3205 | 2019-06-24 |
| 1629633755 | Rans Shaaya | Psychologist | 520 Ballard St, El Cajon, CA 92019-2124 | 2019-05-03 |
| 1356823637 | Tin Joshua Pham | Psychologist | 1860 Walnut St. Suite A, Red Bluff, CA 96080-3611 | 2018-09-03 |
| 1184102238 | Ashley Jean Parker | Psychologist | 3575 Ridgewood Rd, Willits, CA 95490-9787 | 2018-08-01 |
| 1376039438 | Azia Brown | Psychologist | 365 Talbot Ave Apt M15, Pacifica, CA 94044-2667 | 2018-07-02 |
| 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.