DR. ETHAN R LEVINE (NPI# 1538300025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538300025 |
| Entity Type | Individual |
| Full Name | DR. ETHAN R LEVINE |
| Credential | PH.D. |
| Practice Address |
101 Cabarrus Ave E Concord NC 28025-3699 |
| Practice Telephone | 8888497379 |
| Practice Fax Number | 8558577333 |
| Mailing Telephone | 8888497379 |
| Mailing Fax Number | 8558577333 |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2020-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
650 | NC | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
Behavioral Health & Social Service Providers | ||
| N | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers | ||
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RR MEDICARE | P01164443 | 01 |
| NC | BCBS | 14040 | 01 |
| NC | 6001139 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487182283 | Ethan Levine | Physician Assistant | 70 Dubois St, Newburgh, NY 12550-4851 | 2017-05-24 |
| 1144238577 | Ethan Levine | Internal Medicine | 600 Roe Ave, Elmira, NY 14905-1629 | 2006-08-03 |
| Street Address |
101 CABARRUS AVE E |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-3699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215936026 | Rhonda Sanderson Lowry | Family Medicine | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2005-07-14 |
| 1013542315 | Kassie Simmons | Registered Nurse | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2020-03-06 |
| 1942833868 | Jennifer Dawn Tilley | Registered Nurse | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2020-02-19 |
| 1386275006 | Elizabeth Barnhill-blackwell | Registered Nurse | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2020-01-31 |
| 1518506997 | Christyle Rainey | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2020-01-02 |
| 1083250393 | Julia Guerrero | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2019-11-21 |
| 1780225458 | Oscar Njihi | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2019-10-03 |
| 1578125019 | Mary Anne Berry | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2019-07-05 |
| 1114583275 | Leigh W Cox | Social Worker | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2019-05-14 |
| 1508338542 | Kimberly Leigh Driver | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2018-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750749149 | Leadership Psychology Services Inc | Psychologist | 747 Main St, Suite #319, Concord, MA 01742-3302 | 2016-02-01 |
| 1538530472 | Michael J Cassella | Psychologist | 747 Main St, Suite 319, Concord, MA 01742-3302 | 2015-10-19 |
| 1750357935 | Caroline Marie Hatala | Psychologist | 36 Clinton St, New Hampshire Hospital, Concord, NH 03301-2359 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740307 | New Life Development Foundation | Psychologist | 2406 Sidney Porter Dr, Greensboro, NC 27405-1692 | 2020-11-05 |
| 1568958858 | Darian L Grantham | Psychologist | 1223 Porter St, Goldsboro, NC 27530-6713 | 2018-07-10 |
| 1740779537 | Philip Helfaer | Psychologist | 100 Lassiter Rd, Pittsboro, NC 27312-8406 | 2018-05-07 |
| 1659691293 | Cassandra M. Germain | Psychologist | 1228 Links Dr, Morrisville, NC 27560-7056 | 2010-06-06 |
| 1336320993 | Pamela S. Perkins | Psychologist | 3401 Ventura Cir, Wake Forest, NC 27587-9390 | 2007-11-23 |
| 1679631758 | Roger Jerome Nunes | Psychologist | 105 Leon Dr, Goldsboro, NC 27530-9029 | 2006-12-04 |
| 1427089671 | Kristin Elizabeth Grapes | Psychologist | 2910 Briarcliff Road, Winston Salem, NC 27106-3176 | 2006-07-05 |
| 1144256637 | Valerie K Sawyer-smith | Psychologist | 100 Westgreen Dr, Suite 202, Chapel Hill, NC 27516-4417 | 2006-06-25 |
| 1083695340 | Monty G. Grubb | Psychologist | 7946 Market St, Suite 500, Wilmington, NC 28411-8724 | 2005-11-14 |
| 1639178965 | Angela Elizabeth Steep | Psychologist | 330 Valley River Ave, Murphy, NC 28906-2923 | 2005-07-19 |
| 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.