Individual provider Active NPI

Eugene Joseph Van Leeuwen, MD

  • Psychiatry Physician
  • Cincinnati, OH
National Provider Identifier
1932117959
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35055807 Issued in OH
Practice address
3001 Highland Ave.
Suite E
Cincinnati, OH 45219-2315
Phone
(513) 961-8861
Fax
(513) 487-3770
NPI assigned
Aug 4, 2006
Last updated
May 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 35055807 OH
Geriatric Psychiatry Physician 2084P0805X 35055807 OH
Psychiatry Physician 2084P0800X 35055807 OH Primary

Addresses

Primary practice location

3001 Highland Ave.
Suite E
Cincinnati, OH 45219-2315

Mailing address

3001 Highland Ave.
Suite E
Cincinnati, OH 45219-2315
Phone (513) 961-8861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111114000797 OH Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 9032130281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Medical College of Ohio, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3001 Highland Ave
Suite E
Cincinnati, OH 45219-2315
Phone (513) 961-8861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35055807OHMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David G. Leonard, M.D. LLC CurrentSince May 28, 2023 Accepting new patients
Eugene J. Van Leeuwen, M.D. Inc. CurrentSince May 1, 2001 Accepting new patients

Locations

3001 Highland Ave
Ste E
Cincinnati, OH 45219
Phone (513) 961-8830

58 E Hollister St
Cincinnati, OH 45219
Phone (513) 721-1737

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1932117959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 HIGHLAND AVE.",
            "address_2": "SUITE E",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192315",
            "telephone_number": "513-961-8861",
            "fax_number": "513-487-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HIGHLAND AVE.",
            "address_2": "SUITE E",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192315",
            "telephone_number": "513-961-8861",
            "fax_number": "513-487-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN LEEUWEN",
        "first_name": "EUGENE",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35055807",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "OH",
            "license": "35055807",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35055807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.