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

Active since March 10, 2026
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: July 19, 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.

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
Sole ProprietorNo
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

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
2100 SE HILLMOOR DR STE 201
PORT ST LUCIE, FL 34952
Counselor (Mental Health)
2100 SE HILLMOOR DR STE 201
PORT ST LUCIE, FL 34952

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093661159, enumerated as an "individual" on March 10, 2026.

The provider is located at 2100 SE HILLMOOR DR STE 201 PORT ST LUCIE, FL 34952 and the phone number is (772) 278-5508.

Clinical Neuropsychologist with taxonomy code 103G00000X.