DR. JEFFREY MITCHELL LEVINE PSY.D.
NPI 1346334042
Psychologist in Lebanon, CT

Active since October 03, 2006Opted out of Medicare · through Apr 19, 2028
100 KINGSLEY RD, LEBANON, CT 06249(860) 534-1592 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Mitchell Levine Psy.d. NPPES

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

DR. JEFFREY MITCHELL LEVINE PSY.D. (NPI 1346334042) is an individual psychologist in Lebanon, Connecticut, licensed in Connecticut (001225) and active in the NPI registry since October 2006. He has opted out of Medicare through April 19, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1346334042
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JEFFREY MITCHELL LEVINECredential: PSY.D.
Location Address100 KINGSLEY RDLebanon, CT 06249
Mailing Address100 Kingsley RdLebanon, CT 06249 · (860) 534-1592
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateSeptember 1, 2022
NPPES CertifiedSeptember 1, 2022
NPI 1346334042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CT · 001225
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
100 KINGSLEY RD, Lebanon, CT 06249

Other Identifiers 1

MedicaidCBHP4848JLCT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jeffrey Mitchell Levine Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 19, 2018 through April 19, 2028.

Opt-Out Effective DateApril 19, 2018
Opt-Out In Effect ThroughApril 19, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

Social Worker (School)
100 KINGSLEY RD
LEBANON, CT 06249

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 Jeffrey Levine's NPI number?

The NPI number for Jeffrey Levine is 1346334042. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Jeffrey Levine located?

Jeffrey Levine practices at 100 Kingsley Rd, Lebanon, CT 06249. The listed phone number is (860) 534-1592.

What is Jeffrey Levine's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jeffrey Levine enrolled in Medicare?

No. Jeffrey Levine has opted out of Medicare through April 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeffrey Levine was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.