VAN ETHAN LEVY
NPI 1366968802
Marriage & Family Therapist in San Diego, CA

Q: What is Van Levy's NPI number?

The NPI number for Van Levy is 1366968802. It was assigned to this individual provider in the NPPES registry on August 16, 2017. The provider is also known as Vanessa Levy.

Q: What is Van Levy's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Van Levy was last updated on October 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 16, 2017

2220 BROADWAY, SAN DIEGO, CA 92102(619) 232-8126(619) 232-8126 Get Directions Write a Review

NPPES record last updated: October 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2017, Aug 16, 2017 (2 updates tracked since 2017).

On this page

About Van Ethan Levy NPPES

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

VAN ETHAN LEVY (NPI 1366968802) is an individual marriage & family therapist in San Diego, California and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1366968802

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameVAN ETHAN LEVY

Location Address2220 BROADWAYSan Diego, CA 92102-1926

Mailing Address3427 4th AveSan Diego, CA 92103-4910 · (619) 993-3642

Phone(619) 232-8126

Fax(619) 232-8126

Sole ProprietorNo

Enumeration DateAugust 16, 2017

Last NPPES UpdateOctober 11, 20172 updates tracked since enumeration

✔ NPI 1366968802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2220 BROADWAY, San Diego, CA 92102

Open in Google Maps ↗

Other Names 1

Former Name (1)Vanessa Levy

Other Providers at the Same Location NPPES 9

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

GABRIEL VICTOR MENDONCA DE SOUZA

Case Manager/Care Coordinator