Healthcare Provider Details

I. General information

NPI: 1770179772
Provider Name (Legal Business Name): DAVID M LEVY PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2020
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 W HAMPDEN AVE
ENGLEWOOD CO
80110-2165
US

IV. Provider business mailing address

750 W HAMPDEN AVE
ENGLEWOOD CO
80110-2165
US

V. Phone/Fax

Practice location:
  • Phone: 720-798-5587
  • Fax: 346-646-7634
Mailing address:
  • Phone: 720-798-5587
  • Fax: 346-646-7634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number024063
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071010394
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: