DR. FAYNE MAXINE LEVENTHAL MD
NPI 1619091139
Psychiatry & Neurology - Psychiatry in Fort Bragg, CA

Q: What is Fayne Leventhal's NPI number?

The NPI number for Fayne Leventhal is 1619091139. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Q: What is Fayne Leventhal's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Fayne Leventhal 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.

Active since March 19, 2007

205 SOUTH ST, FORT BRAGG, CA 95437(707) 964-1251(707) 961-2722 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Fayne Maxine Leventhal Md NPPES

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

DR. FAYNE MAXINE LEVENTHAL MD (NPI 1619091139) is an individual psychiatry provider in Fort Bragg, California, licensed in California (G50431) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1619091139

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. FAYNE MAXINE LEVENTHALCredential: MD

Location Address205 SOUTH STFort Bragg, CA 95437-5540

Mailing Address205 South StFort Bragg, CA 95437-5540 · (707) 964-1251 · Fax (707) 961-2722

Phone(707) 964-1251

Fax(707) 961-2722

Sole ProprietorNo

Enumeration DateMarch 19, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1619091139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · G50431

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

205 SOUTH ST, Fort Bragg, CA 95437

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Other Identifiers 3

MedicaidFHC03967FCA

Medicare ID-Type Unspecified551813CA

Medicare UPINA51677CA

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.

MR. RICHARD WILLIAM JAULUS LCSW

Social Worker (Clinical)