Active NPI
Richard M. Leavitt, MD
- Psychiatry Physician
- Pleasant Hill, CA
National Provider Identifier
1861570640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G36239
- Practice address
- 3480 Buskirk Ave Ste 210
Pleasant Hill, CA 94523-4304 - Phone
- (925) 933-2627
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G36239 | CA | Primary |
Addresses
Primary practice location
3480 Buskirk Ave Ste 210
Pleasant Hill, CA 94523-4304
Mailing address
3480 Buskirk Ave Ste 210
Pleasant Hill, CA 94523-4304
Phone (925) 933-2627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G362390 | Medicaid | CA |
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 |
|---|---|---|---|
| G36239 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1861570640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3480 BUSKIRK AVE STE 210",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234304",
"telephone_number": "925-933-2627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3480 BUSKIRK AVE STE 210",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234304",
"telephone_number": "925-933-2627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAVITT",
"first_name": "RICHARD",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G36239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G362390",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.