MR. RANDY LEVINE (PH.D.) – Clinical Psychologist, NPI 1306862297

MR. RANDY LEVINE (PH.D.) is a healthcare provider. based in Hollywood, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PY003923 (FL). The NPI Number for MR. RANDY LEVINE (PH.D.) is 1306862297

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
MR. RANDY LEVINE (PH.D.)
NPI
1306862297
Phone
(954) 965-9228
Address
2450 HOLLYWOOD BLVD STE 303A
Enumeration Date
14 July 2006
Last Update Date
21 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549659228
Graduation Year
1986 (40 years ago)
PAC ID
1355342288
Professional Enrollment ID
I20070120000001
Address ID
FL333243327PL150XXDRXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for MR. RANDY LEVINE (PH.D.)

  • 2450 HOLLYWOOD BLVD STE 303A

    HOLLYWOOD, FL 330206624

    Phone: (954) 965-9228

    Type: Location

  • 3363, Sheridan Street, Hollywood, Broward County, Florida, 33021, United States

    SUITE 209

    HOLLYWOOD, FL 330213664

    Phone: (954) 965-9228

    Type: Location

  • 7360, Northwest 17th Court, Pembroke Pines, Broward County, Florida, 33024, United States

    PEMBROKE PINES, FL 330241000

    Phone: (954) 965-9228

    Fax: (954) 966-2208

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070120000001IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes30611$0
View full utilization report →

Insurance plans in this area (ZIP 33020)

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Reviews

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Frequently asked questions

Does MR. RANDY LEVINE (PH.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. RANDY LEVINE (PH.D.) uses 1306862297.
Does the file indicate MR. RANDY LEVINE (PH.D.) is practicing under active NPI?
Directory data currently reports MR. RANDY LEVINE (PH.D.) as active.
What healthcare role does MR. RANDY LEVINE (PH.D.) hold?
Scheduling teams often label MR. RANDY LEVINE (PH.D.) under Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is MR. RANDY LEVINE (PH.D.) based?
MR. RANDY LEVINE (PH.D.) is tied to Hollywood, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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