Healthcare Provider Details

I. General information

NPI: 1982743233
Provider Name (Legal Business Name): DAVID BACHE LEVIT PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 SOUTH PLEASANT STREET
AMHERST MA
01002-2251
US

IV. Provider business mailing address

79 SOUTH PLEASANT STREET
AMHERST MA
01002-2251
US

V. Phone/Fax

Practice location:
  • Phone: 413-253-0624
  • Fax:
Mailing address:
  • Phone: 413-253-0624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number4821
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4821
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierW04718
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerBCBS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: