Dr. Bruce Toyoji Kawasawa
Psychologist Health Service Clinical Psychologist Group Psychotherapist and 2 more
820 S. Damen Ave (116b)
Chicago
, Illinois 60612
Dr. Bruce Toyoji Kawasawa
Psychologist Health Service Clinical Psychologist Group Psychotherapist and 2 more
820 S. Damen Ave (116b)
Chicago
, Illinois 60612
(818) 400-2871
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About
Features
Specialties
- Psychologist
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Health Service
- Group Psychotherapist
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Dr. Bruce Toyoji Kawasawa
- 40 E Oak St #1001
- Chicago, IL
- Zip : 60611
- Phone : (818) 400-2871
Second Address
- Dr. Bruce Toyoji Kawasawa
- 820 S. Damen Ave (116b)
- Chicago, IL
- Zip : 60612
- Phone : (312) 569-6494
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | PSY15778 | CA |
| N | 103T00000X | Psychologist | PSY15778 | CA |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY15778 | CA |
| Y | 103G00000X | Clinical Psychologist | PSY15778 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY15778 | CA |
| N | 103TH0100X | Health Service | PSY15778 | CA |
| N | 103TP2701X | Group Psychotherapist | PSY15778 | CA |
| N | 103TR0400X | Rehabilitation Psychologist | PSY15778 | CA |
National Provider Identifier
| NPI | 1720119316 |
|---|---|
| Provider Name | Dr. Bruce Toyoji Kawasawa |
| First Address | Chicago, IL 60611 |
| Second Address | Chicago, IL 60612 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2007 |
| Last Update Date | 02/08/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| PSY15778 | CALIFORNIA BOARD OF PSYCHOLOGY (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.