Active NPI
Wittawat Kasayapanand, M.D.
- Child & Adolescent Psychiatry Physician
- Wilkes Barre, PA
National Provider Identifier
1225061880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD071545L
- Practice address
- 335 S Franklin St
Wilkes Barre, PA 18702-3808 - Phone
- (570) 825-6425
- Fax
- (570) 829-3337
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD071545L | PA | Primary |
Addresses
Primary practice location
335 S Franklin St
Wilkes Barre, PA 18702-3808
Mailing address
29 Sand St
Pittston, PA 18640-2609
Phone (570) 332-5348
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD071545L | Other | PA | PHYSICIAN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD071545L | PA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1225061880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 SAND ST",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186402609",
"telephone_number": "570-332-5348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 S FRANKLIN ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187023808",
"telephone_number": "570-825-6425",
"fax_number": "570-829-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASAYAPANAND",
"first_name": "WITTAWAT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD071545L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE",
"identifier": "MD071545L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.