Healthcare Provider Details

I. General information

NPI: 1801437975
Provider Name (Legal Business Name): CHLOE MARCIA LEVIN MSN,FNP-BC,PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2019
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 30TH ST STE 407
OAKLAND CA
94609-3321
US

IV. Provider business mailing address

400 30TH ST STE 407
OAKLAND CA
94609-3321
US

V. Phone/Fax

Practice location:
  • Phone: 415-735-6453
  • Fax: 415-548-2181
Mailing address:
  • Phone: 415-735-6453
  • Fax: 415-548-2181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95012846
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95012846
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: