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DR. FREDRIC M LEVINE PH.D.
NPI 1144462920
Psychologist - Clinical in Port Jefferson, NY

Active since March 25, 2009
1000 MAIN ST, PORT JEFFERSON, NY 11777(631) 473-6622 Get Directions Write a Review

NPPES record last updated: March 25, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Fredric M Levine Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FREDRIC M LEVINE PH.D. (NPI 1144462920) is an individual clinical provider in Port Jefferson, New York, licensed in New York (3559) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1144462920
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. FREDRIC M LEVINECredential: PH.D.
Location Address1000 MAIN STPort Jefferson, NY 11777-2250
Mailing Address1000 Main StPort Jefferson, NY 11777-2250 · (631) 473-6622
Phone(631) 473-6622
Sole ProprietorYes
Enumeration DateMarch 25, 2009
✔ NPI 1144462920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 3559
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 3559 (NY)
Also ListedPsychologist · HealthTaxonomy 103TH0004X · License 3559 (NY)
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License 3559 (NY)
1000 MAIN ST, Port Jefferson, NY 11777
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEOPLE TALK, INC
Social Worker (Clinical)
1000 MAIN ST, SUITE D
PORT JEFFERSON, NY 11777
Suffolk County (631) 921-9138
MR. DAVID BRUCE MORGAN LCSW
Social Worker (Clinical)
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 839-1682
KELLY CONRAD SANCHEZ LMFT
Marriage & Family Therapist
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 296-1113
AVNEET KAUR
Marriage & Family Therapist
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 296-1113
MS. DEBORAH M. DEROSA LCSW
Social Worker (Clinical)
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 589-2389
BLAIR CRISTIN FORTE
Marriage & Family Therapist
1000 MAIN ST, FIRST FLOOR, SOUTH SUITE
PORT JEFFERSON, NY 11777
Suffolk County (631) 296-1113
MICHELLE STEWART LCSW
Social Worker (Clinical)
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 631-2961
ASHLEY DANIEL
Marriage & Family Therapist
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 296-1113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fredric Levine's NPI number?

The NPI number for Fredric Levine is 1144462920. It was assigned to this individual provider in the NPPES registry on March 25, 2009.

Where is Fredric Levine located?

Fredric Levine practices at 1000 Main St, Port Jefferson, NY 11777. The listed phone number is (631) 473-6622.

What is Fredric Levine's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Fredric Levine was last updated on March 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.