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DR. BRIAN LEE LEVINE PSYD
NPI 1619997855
Psychologist - Clinical in Fairfax, VA

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
10721 MAIN ST STE 203, FAIRFAX, VA 22030(703) 831-2040(703) 307-5494 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Brian Lee Levine Psyd NPPES

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

DR. BRIAN LEE LEVINE PSYD (NPI 1619997855) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0810003556) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1619997855
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BRIAN LEE LEVINECredential: PSYD
Location Address10721 MAIN ST STE 203Fairfax, VA 22030-6902
Mailing Address10721 Main St Ste 203Fairfax, VA 22030-6902 · (703) 831-2040 · Fax (571) 307-5494
Phone(703) 831-2040
Fax(703) 307-5494
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 20, 2006
Last NPPES UpdateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
✔ NPI 1619997855 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 VA · 0810003556
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.
10721 MAIN ST STE 203, Fairfax, VA 22030
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian Lee Levine Psyd 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 ID9931128998
PECOS Enrollment IDI20061211000406
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brian Levine reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Synergy Psychological Services
Same address
Mental Health (Including Community Mental Health Center)
10721 MAIN ST STE 203
Fairfax, VA 22030
  • Reassigned Medicare billing, District of Columbia enrollment
  • 6 clinicians in this Medicare group
NPI 1508660192 (703) 831-2040
Woodbridge Psychological Associates, P.C.
15 mi
Clinical
2200 OPITZ BLVD STE 105B
Woodbridge, VA 22191
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Woodbridge Psychological Associates PC
  • 9 clinicians in this Medicare group
NPI 1457407009 (703) 491-0042

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 5

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

SAHAIR KABOLI-MONFARED LPC
Psychologist (Clinical)
10721 MAIN ST STE 203
FAIRFAX, VA 22030
Fairfax City (703) 831-2040
DR. YORVSKA M. SALAZAR PSY.D., LPC
Counselor (Professional)
10721 MAIN ST STE 203
FAIRFAX, VA 22030
Fairfax City (703) 831-2040
SYNERGY PSYCHOLOGICAL SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
10721 MAIN ST STE 203
FAIRFAX, VA 22030
Fairfax City (703) 831-2040
KAREN MARIE FITZGERALD PHD
Psychologist (Clinical)
10721 MAIN ST STE 203
FAIRFAX, VA 22030
Fairfax City (702) 831-2040
DR. TRAVIS DRAKE FLOWER PSY.D., J.D.
Psychologist (Clinical)
10721 MAIN ST STE 203
FAIRFAX, VA 22030
Fairfax City (302) 388-4488

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 Brian Levine's NPI number?

The NPI number for Brian Levine is 1619997855. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Brian Levine located?

Brian Levine practices at 10721 Main St Ste 203, Fairfax, VA 22030. The listed phone number is (703) 831-2040.

What is Brian Levine's specialty?

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

Is Brian Levine enrolled in Medicare?

Yes. Brian 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.

Which organizations bill Medicare for Brian Levine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Levine reassigns Medicare benefits to 2 organizations: Synergy Psychological Services (Fairfax, VA) and Woodbridge Psychological Associates, P.C. (Woodbridge, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Levine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Levine was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.