DR. BRUCE LEEWIWATANAKUL D.O. NPI 1821521279

NPI Information

NPI: 1821521279
Provider Name: DR. BRUCE LEEWIWATANAKUL, D.O.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
3401 CIVIC CENTER BLVD DIVISION OF POST PEDS PORTAL
FELLOWSHIP IN GENERAL & CHILD AND ADOLESCENT PSYCHIATRY
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 327-4438
Get Directions

DR. Bruce Leewiwatanakul, D.O. is a child and adolescent psychiatry psychiatry neurology in Philadelphia, PA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Bruce Leewiwatanakul, D.O. NPI is 1821521279. 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:

3401 CIVIC CENTER BLVD DIVISION OF POST PEDS PORTAL
FELLOWSHIP IN GENERAL & CHILD AND ADOLESCENT PSYCHIATRY
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 327-4438

The NPI 1821521279 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/4/2017 and was last updated on 7/13/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		DO197940	OREGON	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	OS021227	PENNSYLVANIA	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	OS021227	PENNSYLVANIA	Yes
4	390200000X	Student in an Organized Health Care Education/Training Program				No

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: 11/14/2023

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »