Provider Demographics
NPI:1952428971
Name:DR HERBERT I. LEVIT, P.C.
Entity Type:Organization
Organization Name:DR HERBERT I. LEVIT, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:IRVING
Authorized Official - Last Name:LEVIT
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:412-471-2011
Mailing Address - Street 1:428 FORBES AVENUE
Mailing Address - Street 2:2302 LAWYERS BUILDING
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-1604
Mailing Address - Country:US
Mailing Address - Phone:412-471-2011
Mailing Address - Fax:412-781-7789
Practice Address - Street 1:428 FORBES AVENUE
Practice Address - Street 2:2302 LAWYERS BUILDING
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-1604
Practice Address - Country:US
Practice Address - Phone:412-471-2011
Practice Address - Fax:412-781-7789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS000391L103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01807690Medicaid
PA001807C90-0001OtherPROMISE NC
PA7055056Medicaid
PALE128329Medicare ID - Type UnspecifiedPSYCHOLOGIST
R06208Medicare PIN
PARO6208Medicare UPIN
PA7055056Medicaid