ROGER G LEVINE MD (NPI# 1083004907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083004907 |
| Entity Type | Organization |
| Organization Name | ROGER G LEVINE MD |
| Practice Address |
4914 West Seneca Turnpkie Syracuse NY 13215 |
| Practice Telephone | 3154692827 |
| Practice Fax Number | 8882248297 |
| Mailing Telephone | 3154692827 |
| Mailing Fax Number | 8882248297 |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |
| Authorized Official Name | DR. ROGER G LEVINE (OWNER) |
| Authorized Official Telephone | 3154692827 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 172860 | NY | Residential Treatment Facilities |
| Street Address |
4914 WEST SENECA TURNPKIE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13215 |
| 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 |
| 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 |
| 1306093141 | Amy Edwards Wenner | Audiologist | 4424 Dolomite Drive, Syracuse, NY 13215 | 2008-08-23 |
| Find all providers in zip 13215 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972635332 | Aspen Institute for Behavioral Assessment | Psychiatric Residential Treatment Facility | 2732 W 2700 S, Syracuse, UT 84075 | 2007-03-12 |
| 1356473011 | Island View Residential Treatment Center | Psychiatric Residential Treatment Facility | 2650 W 2700 S, Syracuse, UT 84075-9013 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265092514 | Head Start Housing and Rehabilitation Corporation | Psychiatric Residential Treatment Facility | 3818 Church Ave Apt 1b, Brooklyn, NY 11203-2907 | 2019-06-18 |
| 1780132910 | Center for Discovery | Psychiatric Residential Treatment Facility | 3 Sunset Ave, East Quogue, NY 11942-4201 | 2016-09-16 |
| 1164763348 | Nys Office of Mental Health | Psychiatric Residential Treatment Facility | 305 Plymouth Ct, Uniondale, NY 11553-1930 | 2013-03-12 |
| 1275837692 | Eihab Human Services, Inc | Psychiatric Residential Treatment Facility | 16818 S Conduit Ave, Jamaica, NY 11434-4806 | 2010-12-28 |
| 1659681138 | Eihab Human Services, Inc. | Psychiatric Residential Treatment Facility | 1200 State Route 92 South, Tunkhannock, NY 18657 | 2010-10-18 |
| 1396956462 | Baker Victory Services | Psychiatric Residential Treatment Facility | 150 Martin Road, Lackawanna, NY 14218 | 2007-05-24 |
| 1316080468 | Hopevale Inc. | Psychiatric Residential Treatment Facility | 3780 Howard Rd, Hamburg, NY 14075-2252 | 2007-02-15 |
| 1427198209 | Concern for Independent Living, Inc. | Psychiatric Residential Treatment Facility | 312 Expressway Drive South, Medford, NY 11763 | 2007-02-08 |
| 1568561298 | The Renfrew Centers, Inc. | Psychiatric Residential Treatment Facility | 38 E. 32nd Street, 10th Floor, New York, NY 10016 | 2006-09-21 |
| 1396786695 | Bay Medical Care P.C. | Psychiatric Residential Treatment Facility | 7612 Bay Pkwy, Suite# B, Brooklyn, NY 11214-1516 | 2006-06-09 |
| 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.