Stefanie Alyson Landau

Primary specialty

PsychologistTaxonomy code 103T00000X

License

11204 Issued in MA

Practice address

33 Fordham St
Arlington, MA 02474-3401

Phone

(484) 580-9113

NPI assigned

Oct 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Integrative Psychology Group LLC

  • Psychologist
  • Newark, DE
  • NPI 1932550027
  NPD

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1093357170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 FORDHAM ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024743401",
            "telephone_number": "215-920-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 FORDHAM ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024743401",
            "telephone_number": "484-580-9113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Creek View Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197118547",
            "country_code": "US",
            "telephone_number": "302-307-3702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDAU",
        "first_name": "STEFANIE",
        "middle_name": "ALYSON",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B1-0001200",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "11204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lacy
• Lena Laferriere
• Kimberly Lai, DNP, FNP-BC
• Carol Jean Lambert, MSW
• Paula Lambertson, OT
• Anne Virginia Laraia, MD
• Rachael Lastoff
• Carmen Yuk Hung Lau-Li
• Oksana Maria Launer, LCSW
• Caitlin Lauria

• Psychologist in Arlington, MA
• Providers in Arlington, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.