Provider Type Icon

DR. BRUCE TOYOJI KAWASAWA PH.D. NPI 1720119316


NPI Information

NPI: 1720119316
Provider Name: DR. BRUCE TOYOJI KAWASAWA, PH.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
820 S. DAMEN AVE (116B)
CHICAGO, IL
ZIP 60612
Phone: (312) 569-6494
Get Directions

DR. Bruce Toyoji Kawasawa, PH.D. is a clinical psychologist in Chicago, IL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Bruce Toyoji Kawasawa, PH.D. NPI is 1720119316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

820 S. DAMEN AVE (116B)
CHICAGO, IL
ZIP 60612
Phone: (312) 569-6494

The enumeration date for this NPI number is 3/8/2007 and was last updated on 8/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistPSY15778CALIFORNIANo
2103TB0200XPsychologistCognitive & BehavioralPSY15778CALIFORNIANo
3103TH0100XPsychologistHealth ServicePSY15778CALIFORNIANo
4103TP2701XPsychologistGroup PsychotherapyPSY15778CALIFORNIANo
5103TR0400XPsychologistRehabilitationPSY15778CALIFORNIANo
6103TC0700XPsychologistClinicalPSY15778CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PSY15778OTHERCALIFORNIACALIFORNIA BOARD OF PSYCHOLOGY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.