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BRUCE LEVINE MD
NPI 1205093242
Psychiatry & Neurology - Child & Adolescent Psychiatry in Watertown, NY

Active since May 19, 2008
24670 GOTHAM STREET RD, CARRIAGE HOUSE, WATERTOWN, NY 13601(303) 385-7368 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 15, 2016, Feb 24, 2016 (2 updates tracked since 2016).

About Bruce Levine Md NPPES

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

BRUCE LEVINE MD (NPI 1205093242) is an individual child & adolescent psychiatry provider in Watertown, New York, licensed in New York (242658) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1205093242
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameBRUCE LEVINECredential: MD
Location Address24670 GOTHAM STREET RD, CARRIAGE HOUSEWatertown, NY 13601-4290
Mailing Address24670 Gotham Street Rd, Carriage HouseWatertown, NY 13601-4290 · (303) 385-7368
Phone(303) 385-7368
Sole ProprietorNo
Enumeration DateMay 19, 2008
Last NPPES UpdateNovember 15, 20162 updates tracked since enumeration
✔ NPI 1205093242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in NY · 242658✔ Licensed in CO · 46758
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License TD60632655 (WA)
24670 GOTHAM STREET RD, Watertown, NY 13601
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Other Identifiers 2

Medicare PINCO301741CO
Medicaid50385755CO

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 Bruce Levine's NPI number?

The NPI number for Bruce Levine is 1205093242. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Where is Bruce Levine located?

Bruce Levine practices at 24670 Gotham Street Rd Carriage House, Watertown, NY 13601. The listed phone number is (303) 385-7368.

What is Bruce Levine's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Bruce Levine was last updated on November 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.