DR. MARVIN LEVENSON (NPI# 1689787434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689787434 |
| Entity Type | Individual |
| Full Name | DR. MARVIN LEVENSON |
| Credential | PHD |
| Practice Address |
4600 Kietzke Ln Suite C122 Reno NV 89502-5033 |
| Practice Telephone | 7758239133 |
| Practice Fax Number | 7758239240 |
| Mailing Telephone | 7758239133 |
| Mailing Fax Number | 7758239240 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY074 | NV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609188937 | Marvin Walter Levenson | Case Manager/Care Coordinator | 2227 Enterprise St, Escondido, CA 92029 | 2010-07-01 |
| Street Address |
4600 KIETZKE LN SUITE C122 |
| City | RENO |
| State | NV |
| Zip Code | 89502-5033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023075082 | Mountain Circle Family Services, Inc. | Public Health or Welfare | 4600 Kietzke Ln, Suite B112, Reno, NV 89502-5033 | 2006-04-26 |
| 1699375972 | Edgar Gerardo Lopez Mora | Case Manager/Care Coordinator | 4600 Kietzke Ln, Reno, NV 89502-5033 | 2020-10-27 |
| 1750858031 | Shane Jones | Counselor | 4600 Kietzke Ln, Reno, NV 89502-5033 | 2018-10-25 |
| 1205379740 | Nicholas Lowe | Counselor | 4600 Kietzke Ln, Reno, NV 89502-5033 | 2016-12-01 |
| 1205379013 | Annie Trent | Counselor | 4600 Kietzke Ln, J-212, Reno, NV 89502-5033 | 2016-11-28 |
| 1497297295 | Chelsea Van Kruyssen | Counselor | 4600 Kietzke Ln, #j212, Reno, NV 89502-5033 | 2016-11-09 |
| 1467906438 | Trudy Warner | Rehabilitation Practitioner | 4600 Kietzke Ln, Suite O - 260, Reno, NV 89502-5033 | 2016-08-08 |
| 1770936957 | Sarah Verness | Social Worker | 4600 Kietzke Ln, Suite 0-260, Reno, NV 89502 | 2016-07-22 |
| 1154774479 | Alyssa Catherine Fajayan | Social Worker | 4600 Kietzke Ln, Suite O-260, Reno, NV 89502-5033 | 2016-07-21 |
| 1134588387 | Samuel C. Winter Do Pllc | Family Medicine | 4600 Kietzke Ln, K-221, Reno, NV 89502-5033 | 2016-02-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831681519 | John Allard Hanson | Psychologist | 1730 Aquila Ave, Reno, NV 89509-3101 | 2018-05-30 |
| 1124411590 | Larry Ramirez | Psychologist | 5231 Rosehill Ct, Reno, NV 89502-7785 | 2015-03-10 |
| 1568890200 | Nadia Samad Locey | Psychologist | 505 S Arlington Ave Ste 102d, Reno, NV 89509-1505 | 2013-10-16 |
| 1487946158 | Lorraine Benuto | Psychologist | University of Nevada Reno, Dept. of Psychology Ms 0296, Reno, NV 89557-0001 | 2011-05-12 |
| 1548580285 | Ian L Pritchard | Psychologist | 6170 Ridgeview Ct, Ste C, Reno, NV 89519-6324 | 2010-06-04 |
| 1710115142 | Tara Boswell | Psychologist | 180 W Huffaker Ln # 302-303, Reno, NV 89511 | 2009-06-24 |
| 1962645234 | Elizabeth Anne Mosco | Psychologist | 9645 Gateway Dr, Suite B, Reno, NV 89521-4190 | 2009-04-15 |
| 1164615332 | Stephanie Dillon | Psychologist | 4600 Kietzke Ln Ste C120, Reno, NV 89502-5037 | 2007-08-21 |
| 1346458288 | University Alliance for Behavioral Care Inc., Dba Careintegra | Psychologist | 4781 Caughlin Pkwy, Reno, NV 89509-0906 | 2007-05-21 |
| 1245447267 | Family Counseling Service | Psychologist | 575 E Plumb Lane, Ste 100, Reno, NV 89502 | 2007-05-17 |
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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.