DR. TAYLOR LEVINE (PH.D.) – Clinical Neuropsychologist, NPI 1972471845

DR. TAYLOR LEVINE (PH.D.) is a healthcare provider. based in Henderson, Nevada. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. P.08870 (OH). The NPI Number for DR. TAYLOR LEVINE (PH.D.) is 1972471845

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. TAYLOR LEVINE (PH.D.)
NPI
1972471845
Phone
Not provided
Address
287 MAYBERRY ST
Enumeration Date
23 October 2025
Last Update Date
23 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2168441000
Graduation Year
2023 (3 years ago)
PAC ID
0749761401
Group Practice PAC ID
4789682493
Professional Enrollment ID
I20260220003791
Address ID
OH441061716CL11100AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for DR. TAYLOR LEVINE (PH.D.)

  • 287 MAYBERRY ST

    HENDERSON, NV 890522310

    Phone:

    Type: Mailing

  • 3619 PARK EAST DR STE 109

    BEACHWOOD, OH 441224312

    Phone: (216) 464-6445

    Type: Location

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: 2026-02-20

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
I20260220003791IClinical PsychologistOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89052)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789682493View full group profile
NameSpecialtyState
-OH
-MI
Hospitalist, Internal MedicineOH
-TX
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
-OH

Reviews

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Frequently asked questions

What is DR. TAYLOR LEVINE (PH.D.)'s NPI number?
DR. TAYLOR LEVINE (PH.D.)'s NPI is 1972471845 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. TAYLOR LEVINE (PH.D.)?
You should see DR. TAYLOR LEVINE (PH.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. TAYLOR LEVINE (PH.D.)?
At a glance, DR. TAYLOR LEVINE (PH.D.) is tied to Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Is DR. TAYLOR LEVINE (PH.D.) located near Henderson?
DR. TAYLOR LEVINE (PH.D.) currently maps to Henderson, Nevada in this extract.
Can I trust this NPI listing for DR. TAYLOR LEVINE (PH.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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