Ethan Levine, PH.D.
Ethan Levine, PH.D. is an Adult Development & Aging Psychologist in Concord, NC, registered under NPI 1538300025. This provider registers 7 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 101 CABARRUS AVE E, Concord, NC 28025. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 650 | NC | Clinical Psychologist |
This provider holds licence 650 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Clinical Psychologist
- PAC ID
- 3274708722
- Enrollment ID
- I20111212000189
Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Adult Development & Aging covers
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care. NUCC Health Care Provider Taxonomy, code 103TA0700X
All registered taxonomy codes
This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103T00000X | Psychologist | — | — | |
| 103TC0700X | Clinical Psychologist Clinical | 650 | NC | |
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | — | — | |
| 103TE1100X | Exercise & Sports Psychologist Exercise & Sports | — | — | |
| 103TH0100X | Health Service Psychologist Health Service | — | — | |
| 103TR0400X | Rehabilitation Psychologist Rehabilitation | — | — | |
| 103TA0700X | Adult Development & Aging Psychologist Adult Development & Aging | — | — | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1538300025 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 13, 2009 |
| Last updated | Apr 8, 2020 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | PH.D. |
| Practice address |
101 CABARRUS AVE E Concord, NC 28025 (888) 849-7379 Fax (855) 857-7333 |
| Other identifiers |
14040
· Other (NC) 6001139 · Medicaid (NC) P01164443 · Other (NC) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 3 | 8 | 3 | 0 | 0 | 0 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 6 | 8 | 6 | 0 | 0 | 0 | 4 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.