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DR. LEELAN NICHOLAS MICHAEL BHAGWANDEEN PSYD
NPI 1093661159
Clinical Neuropsychologist in Port St Lucie, FL

Active since March 10, 2026PECOS Enrolled
2100 SE HILLMOOR DR STE 201, PORT ST LUCIE, FL 34952(772) 278-5508 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Leelan Nicholas Michael Bhagwandeen Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEELAN NICHOLAS MICHAEL BHAGWANDEEN PSYD (NPI 1093661159) is an individual clinical neuropsychologist in Port St Lucie, Florida, licensed in Florida (PY13112) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1093661159
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. LEELAN NICHOLAS MICHAEL BHAGWANDEENCredential: PSYD
Location Address2100 SE HILLMOOR DR STE 201Port St Lucie, FL 34952-8057
Mailing Address2938 Janet PlHammond, IN 46323-1137
Phone(772) 278-5508
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 10, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1093661159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in FL · PY13112
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
2100 SE HILLMOOR DR STE 201, Port St Lucie, FL 34952
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Leelan Nicholas Michael Bhagwandeen Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759845613
PECOS Enrollment IDI20260710003793
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Leelan Bhagwandeen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Treasure Coast Neuropsychology PA
2.6 mi
Mental Health (Including Community Mental Health Center)
10570 S US HIGHWAY 1 STE 300
Port St Lucie, FL 34952
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1689454613 (772) 278-5508

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOHN MICHAEL POLI LMHC, CAP
Counselor (Mental Health)
2100 SE HILLMOOR DR STE 201
PORT ST LUCIE, FL 34952
St. Lucie County (722) 285-5445
MYRALDA JEROME LMHC
Counselor (Mental Health)
2100 SE HILLMOOR DR STE 201
PORT ST LUCIE, FL 34952
St. Lucie County (561) 908-1336
DR. ASHLEY J TANTON PSY.D.
Clinical Neuropsychologist
2100 SE HILLMOOR DR STE 201
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 278-5508

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leelan Bhagwandeen's NPI number?

The NPI number for Leelan Bhagwandeen is 1093661159. It was assigned to this individual provider in the NPPES registry on March 10, 2026.

Where is Leelan Bhagwandeen located?

Leelan Bhagwandeen practices at 2100 SE Hillmoor Dr Ste 201, Port St Lucie, FL 34952. The listed phone number is (772) 278-5508.

What is Leelan Bhagwandeen's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Leelan Bhagwandeen enrolled in Medicare?

Yes. Leelan Bhagwandeen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Leelan Bhagwandeen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leelan Bhagwandeen reassigns Medicare benefits to Treasure Coast Neuropsychology PA (Port St Lucie, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leelan Bhagwandeen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Leelan Bhagwandeen was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.