Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Leo Jan Bastiaens, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1235127754

Dr. Leo Jan Bastiaens, MD is a Child & Adolescent Psychiatry Physician in Brewster, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1620 Route 22 Ste 203
Brewster, NY 10509-4052
Phone: (845) 278-2500
Fax: (844) 454-5096
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 171146 (NY)

Record details

NPI number1235127754
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 10, 2005
Last updated in NPPESApril 6, 2022
Certification dateApril 6, 2022

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