MEDICARE: DR. JONATHAN DAVID LEAVITT M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	G22219	CA

General Provider Information

NPI Number	:	1528115243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN DAVID LEAVITT M.D

Provider Business Mailing Address
First Line	:	PO BOX 7998
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94707-0998
Country	:	US
Telephone Number	:	866-998-6060
Fax Number	:	510-525-8591

Provider Business Practice Location Address
First Line	:	1235 MARIN AVE
Second Line	:
City	:	ALBANY
State	:	CA
Zip	:	94706-2042
Country	:	US
Telephone Number	:	866-998-6060
Fax Number	:	510-525-8591

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1548380595 — ESTHER REBECCA BRASS PH.D.
Practice Location Address:

1235 MARIN AVE
ALBANY, CA
94706-2042

Practice Phone: 510-524-0456
Practice Fax: 510-525-2403

1396181194 — ELIZABETH KRAINER PH.D., PSY.D.
Practice Location Address:

1235 MARIN AVE STE D
ALBANY, CA
94706-2042

Practice Phone: 510-981-4563
Practice Fax: 510-647-8160

1750490439 — HASHMAT RAJPUT MD
Practice Location Address:

2042 ALBANY POST ROAD , SUITE 3
CROTON, NY
10520

Practice Phone: 914-736-2616
Practice Fax:

1740312453 — HUDSON MEDICAL PRACTICE PC
Practice Location Address:

2042 ALBANY POST ROAD , SUITE #3
CROTON, NY
10520-1128

Practice Phone: 914-736-2616
Practice Fax:

1780951855 — DR. ALLA CHEBAN DDS
Practice Location Address:

2042 ALBANY POST RD STE 3
CROTON ON HUDSON, NY
10520-1169

Practice Phone: 914-734-9557
Practice Fax: 914-734-1529

1720338775 — MILAP PATEL D.D.S.
Practice Location Address:

2042 ALBANY POST RD , SUITE 3
CROTON ON HUDSON, NY
10520-1168

Practice Phone: 914-734-9557
Practice Fax:

Directions to “ DR. JONATHAN DAVID LEAVITT M.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.