DR. JONATHAN DAVID LEAVITT M.D
NPI 1528115243
Psychiatry & Neurology - Child & Adolescent Psychiatry in Albany, CA
- Individual
- Male
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
About JONATHAN LEAVITT
This page provides the complete NPI Profile along with additional information for Jonathan Leavitt, a provider established in Albany, California with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1528115243 assigned on January 2007. The practitioner's primary taxonomy code is 2084P0804X with license number G22219 (CA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1528115243 Verify this NPI
- Provider Name
- DR. JONATHAN DAVID LEAVITT M.D
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1235 MARIN AVE ALBANY, CA 94706
- Location Phone
- (866) 998-6060
- Location Fax
- (510) 525-8591
- Mailing Address
- PO BOX 7998 BERKELEY, CA 94707
- Mailing Phone
- (866) 998-6060
- Mailing Fax
- (510) 525-8591
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-04-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G22219
- License State
- CA
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528115243, enumerated as an "individual" on January 04, 2007.
The provider is located at 1235 MARIN AVE ALBANY, CA 94706 and the phone number is (866) 998-6060.
Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.