DR. JEFFREY MITCHELL LEVINE


Address: Northeast Clincal Specialists LLC, 155 A Storrs Rd, Mansfiled, CT 06250
Phone: 8604564442

DR. JEFFREY MITCHELL LEVINE (NPI# 1346334042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346334042
Entity Type Individual
Full Name DR. JEFFREY MITCHELL LEVINE
Practice Address Northeast Clincal Specialists LLC
155 A Storrs Rd
Mansfiled
CT 06250
Mailing Address Northeast Clincal Specialists LLC
155 Storss Rd
Mansfiled
CT 06250
Practice Telephone 8604564442
Mailing Telephone 8604564442
Enumeration Date 2006-10-03
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 001225 CT Behavioral Health & Social Service Providers

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Office Location

Street Address NORTHEAST CLINCAL SPECIALISTS LLC
155 A STORRS RD
City MANSFILED
State CT
Zip Code 06250

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922610765 Rebecca Hinckley Physical Therapist 175 Stafford Road, Mansfield Center, CT 06250 2020-08-22
1649801184 Kristine Leslie Dimartino Marriage & Family Therapist Natchaug Hospital Sachem House, 151 Storrs Road, Mansfield Center, CT 06250 2020-02-03
1942845508 Philip Fank De Ricco Massage Therapist 590 Ash St, Mansfield, CT 06250 2019-11-07
1134772858 Lauren Curtis Counselor 140 North Frontage Road, Mansfield Ctr, CT 06250 2019-07-22
1548747629 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 140 North Frontage Road, Room 171, Mansfield Center, CT 06250 2018-07-23
1366958480 Mansfield Mental Health & Addiction Medicine Psychiatry & Neurology 18-e Ledgebrook Drive, 18-e, Mansfield Ctr, CT 06250 2017-12-27
1124499629 Laura Jean Lassow Social Worker 70 Jacobs Hill Rd, Mansfield Center, CT 06250 2015-10-12
1508105891 Raymond Karl Bopp Surgery 533 Wormwood Hill Road, Mansfield Center, CT 06250 2013-02-06
1992026900 Carole Laurie Olderman Social Worker 189 Storrs Road, 06250, Natchaug Hospital, Mansfield, CT 06250 2010-06-14
1427384775 Maurice Samuel Lapointe Marriage & Family Therapist 365 Storrs Road, Mansfield, CT 06250 2009-10-21
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

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Competitor

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City MANSFILED
Zip Code 06250

Improve Information

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Dataset Information

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.

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