MR. LEVI LIPOVENKO
NPI 1609352608
Psychologist in Lakewood, NJ

Active since July 13, 2018PECOS Enrolled
1771 MADISON AVE, LAKEWOOD, NJ 08701(732) 364-6666 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2022, Jul 13, 2018 (2 updates tracked since 2018).

About Mr. Levi Lipovenko NPPES

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

MR. LEVI LIPOVENKO (NPI 1609352608) is an individual psychologist in Lakewood, New Jersey, licensed in New Jersey (35SI00670600) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609352608
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. LEVI LIPOVENKO
Location Address1771 MADISON AVELakewood, NJ 08701-1242
Mailing Address1771 Madison AveLakewood, NJ 08701-1242 · (732) 364-6666
Sole ProprietorNo
Enumeration DateJuly 13, 2018
Last NPPES UpdateJuly 14, 20222 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
NPI 1609352608 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 NJ · 35SI00670600
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.
1771 MADISON AVE, Lakewood, NJ 08701

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Levi Lipovenko is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Local Education Agency (LEA)
1771 MADISON AVE, SUITE B
LAKEWOOD, NJ 08701
Nurse Practitioner (Family)
1771 MADISON AVE
LAKEWOOD, NJ 08701
Nurse Practitioner (Psychiatric/Mental Health)
1771 MADISON AVE
LAKEWOOD, NJ 08701
Social Worker
1771 MADISON AVE
LAKEWOOD, NJ 08701
Pediatrics
1771 MADISON AVE, CENTER FOR HEALTH EDUCATION, MEDICINE AND DENTISTRY
LAKEWOOD, NJ 08701
Dentist (General Practice)
1771 MADISON AVE
LAKEWOOD, NJ 08701
Internal Medicine
1771 MADISON AVE
LAKEWOOD, NJ 08701
Physician Assistant
1771 MADISON AVE
LAKEWOOD, NJ 08701

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 Levi Lipovenko's NPI number?

The NPI number for Levi Lipovenko is 1609352608. It was assigned to this individual provider in the NPPES registry on July 13, 2018.

Where is Levi Lipovenko located?

Levi Lipovenko practices at 1771 Madison Ave, Lakewood, NJ 08701. The listed phone number is (732) 364-6666.

What is Levi Lipovenko's specialty?

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

Is Levi Lipovenko enrolled in Medicare?

Yes. Levi Lipovenko is registered in the Medicare PECOS enrollment system.

What insurance does Levi Lipovenko accept?

Health plans from Providence Health Plan list Levi Lipovenko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Levi Lipovenko was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.