Active NPI
Beth I Landau, PSYD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1043488810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 014256
- Practice address
- 309 West 23Rd Street
United Cerebral Palsy Westside Day Hab Program III
New York, NY 10011 - Phone
- (212) 741-3540
- Fax
- (212) 675-1759
- NPI assigned
- Feb 14, 2008
- Last updated
- Feb 14, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 014256 | NY | Primary |
Addresses
Primary practice location
309 West 23Rd Street
United Cerebral Palsy Westside Day Hab Program III
New York, NY 10011
Mailing address
309 West 23Rd Street
United Cerebral Palsy Westside Day Hab Program III
New York, NY 10011
Phone (212) 741-3540
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Federation Employment and Guidance Service, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1942243084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1043488810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 WEST 23RD STREET",
"address_2": "UNITED CEREBRAL PALSY WESTSIDE DAY HAB PROGRAM III",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10011",
"telephone_number": "212-741-3540",
"fax_number": "212-675-1759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 WEST 23RD STREET",
"address_2": "UNITED CEREBRAL PALSY WESTSIDE DAY HAB PROGRAM III",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10011",
"telephone_number": "212-741-3540",
"fax_number": "212-675-1759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDAU",
"first_name": "BETH",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-14",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "014256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.