Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Fredric M Levine, PHD

Individual provider Cognitive & Behavioral Psychologist · NPI 1144462920

Dr. Fredric M Levine, PHD is a Cognitive & Behavioral Psychologist in Port Jefferson, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
Specialties on file
4
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

1000 Main St
Port Jefferson, NY 11777-2250
Phone: (631) 473-6622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3559 (NY)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 3559 (NY)
Health Psychologist Taxonomy 103TH0004X · Licence 3559 (NY)
Health Service Psychologist Taxonomy 103TH0100X · Licence 3559 (NY)

Record details

NPI number1144462920
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 25, 2009
Last updated in NPPESMarch 25, 2009

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