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DR. ETHAN R LEVINE PH.D. NPI 1538300025


NPI Information

NPI: 1538300025
Provider Name: DR. ETHAN R LEVINE, PH.D.
Classification: Psychologist - 103TA0700X
Entity Type: Individual

Specialization: Adult Development & Aging

PECOS Registration: Yes

Address:
101 CABARRUS AVE E
CONCORD, NC
ZIP 28025
Phone: (888) 849-7379
Get Directions

DR. Ethan R Levine, PH.D. is an adult development and aging psychologist in Concord, NC with 47 years of experience. The provider is a psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care. DR. Ethan R Levine, PH.D. NPI is 1538300025. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 CABARRUS AVE E
CONCORD, NC
ZIP 28025-699
Phone: (888) 849-7379
Fax: (855) 857-7333

The NPI 1538300025 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 30 minutes (HCPCS:90832)
  • Psychotherapy, 60 minutes (HCPCS:90837)
  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 3/13/2009 and was last updated on 4/8/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistNo
2103TA0700XPsychologistAdult Development & AgingYes
3103TC0700XPsychologistClinical650NORTH CAROLINANo
4103TC2200XPsychologistClinical Child & AdolescentNo
5103TE1100XPsychologistExercise & SportsNo
6103TH0100XPsychologistHealth ServiceNo
7103TR0400XPsychologistRehabilitationNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P01164443OTHERNORTH CAROLINARR MEDICARE
214040OTHERNORTH CAROLINABCBS
36001139MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.