Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ethan R Levine, PHD

Individual provider Psychologist · NPI 1538300025

Dr. Ethan R Levine, PHD is a Clinical Psychologist in Concord, North Carolina. Qualified in 1977, 49 years ago. Practices with Eventus Wholehealth PLLC, a 299-clinician group. Licensed in North Carolina.

Years since qualifying
49
Licensed in
NC
In the registry since
2009
Specialties on file
7
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

101 Cabarrus Ave E
Concord, NC 28025-3699
Phone: (888) 849-7379
Fax: (855) 857-7333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Development & Aging Psychologist (primary) Taxonomy 103TA0700X
Psychologist Taxonomy 103T00000X
Clinical Psychologist Taxonomy 103TC0700X · Licence 650 (NC)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X
Exercise & Sports Psychologist Taxonomy 103TE1100X
Health Service Psychologist Taxonomy 103TH0100X
Rehabilitation Psychologist Taxonomy 103TR0400X

Record details

NPI number1538300025
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 13, 2009
Last updated in NPPESApril 8, 2020
Certification dateApril 8, 2020
Mailing address101 Cabarrus Ave E, Concord, NC 28025-3699

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Eventus Wholehealth Pllc — 299 clinicians
Accepts Medicare assignment Not indicated

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