DR. JACK SANFORD LEVINE PH.D.
NPI 1437284239
Psychologist - Clinical in Covina, CA

Active since February 22, 2007PECOS EnrolledAccepts Medicare Assignment
750 TERRADO PLZ, SUITE 246, COVINA, CA 91723(626) 915-0933(626) 339-2885 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jack Sanford Levine Ph.d. NPPES

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

DR. JACK SANFORD LEVINE PH.D. (NPI 1437284239) is an individual clinical provider in Covina, California, licensed in California (PSY6826) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1437284239
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACK SANFORD LEVINECredential: PH.D.
Location Address750 TERRADO PLZ, SUITE 246Covina, CA 91723-3419
Mailing Address750 Terrado Plz, Suite 246Covina, CA 91723-3419 · (626) 915-0933 · Fax (626) 339-2885
Fax(626) 339-2885
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1437284239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY6826
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.
750 TERRADO PLZ, Covina, CA 91723

Other Identifiers 1

Medicare ID-Type UnspecifiedCP6826CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack Sanford Levine Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971799248
PECOS Enrollment IDI20101129000602
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
437 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91723 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

Psychologist (Clinical)
750 TERRADO PLZ, #49
COVINA, CA 91723
Hospice Care, Community Based
750 TERRADO PLZ, SUITE 239
COVINA, CA 91723
Counselor (Mental Health)
750 TERRADO PLZ
COVINA, CA 91723
Clinic/Center (Physical Therapy)
750 TERRADO PLZ, SUITE 104
COVINA, CA 91723
Marriage & Family Therapist
750 TERRADO PLZ, #215
COVINA, CA 91723
Social Worker (Clinical)
750 TERRADO PLZ, SUITE 40
COVINA, CA 91723
Hospice Care, Community Based
750 TERRADO PLZ, SUITE 231
COVINA, CA 91723
Home Health
750 TERRADO PLZ, STE 31
COVINA, CA 91723

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 Jack Levine's NPI number?

The NPI number for Jack Levine is 1437284239. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Jack Levine located?

Jack Levine practices at 750 Terrado Plz Suite 246, Covina, CA 91723. The listed phone number is (626) 915-0933.

What is Jack Levine's specialty?

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

Is Jack Levine enrolled in Medicare?

Yes. Jack Levine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jack Levine was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.