OrganizationActive
Ethan R. Levine, PH.D.
NPI 1972002004 · Clinical Psychologist · Raleigh, NC
Ethan R. Levine, PH.D. is a Clinical Psychologist organization in Raleigh, NC (NPI 1972002004).
Provider details
- NPI number
- 1972002004
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ethan Levine, Managing Director(919) 264-3755
- License
- 650 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11937 Straight a Way Ln
Raleigh, NC 27613-7105
Phone: (919) 264-3755
Fax: (919) 846-9231
Street-level locationGet directions
Mailing address
11937 Straight a Way Ln
Raleigh, NC 27613-7105
Registry dates
- Enumerated
- 2018-02-05
- Last updated
- 2018-02-05
Frequently asked questions
- What is Ethan R. Levine, PH.D.'s NPI number?
- Ethan R. Levine, PH.D.'s National Provider Identifier (NPI) is 1972002004, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ethan R. Levine, PH.D.?
- Ethan R. Levine, PH.D. is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Ethan R. Levine, PH.D. located?
- Ethan R. Levine, PH.D.'s practice location on file with NPPES is 11937 Straight a Way Ln, Raleigh, NC 27613-7105.
- What is Ethan R. Levine, PH.D.'s phone number?
- The practice phone number listed in the NPPES registry for Ethan R. Levine, PH.D. is (919) 264-3755.
- Who is the authorized official for Ethan R. Levine, PH.D.?
- The authorized official listed on Ethan R. Levine, PH.D.'s NPPES record is Ethan Levine, Managing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ethan R. Levine, PH.D.'s NPI active?
- Yes — Ethan R. Levine, PH.D.'s NPI (1972002004) is active in the NPPES registry as of the last update on 2018-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.