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NPI Code Detail

MEDICARE: SHELDON L LEVINSON PH.D.

MEDICARE: SHELDON L LEVINSON PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist128113KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497748099
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELDON L LEVINSON PH.D.
Provider Business Mailing Address
First Line : 4800 N SCOTTSDALE RD STE 2500
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-7630
Country : US
Telephone Number : 502-975-2960
Fax Number : 502-290-1931
Provider Business Practice Location Address
First Line : 2550 EASTPOINT PKWY STE 210
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-4128
Country : US
Telephone Number : 502-975-2960
Fax Number : 502-290-1931
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 05/22/2026

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