Craig Allen Landers, B.A.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

5080 N Fruit Ave Ste 102
Fresno, CA 93711-3062

Phone

(559) 493-5609

NPI assigned

Sep 30, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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.

• Nucleus Behavioral Psychology Corp

  • Psychologist
  • Fresno, CA
  • NPI 1982374484
  NPD

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1124337704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 N FRUIT AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113062",
            "telephone_number": "559-493-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 N FRUIT AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113062",
            "telephone_number": "559-493-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDERS",
        "first_name": "CRAIG",
        "middle_name": "ALLEN",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-30",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124337704",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard E. Land, D.O.
• Megan Elizabeth Lander, MD
• Ray Lander, D.M.D
• Adam Joseph Landeros, MPH MS
• Maricella Landeros, REGISTERED NURSE BSN
• Michael Joseph Landers, D.D.S.
• Lorena Landin
• Christine Louise Landis, LCSW
• Josie Elizabeth Landis
• Tammara Lynn Landry, LVN

• Student in an Organized Health Care Education/Training Program in Fresno, CA
• Providers in Fresno, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.