Nancy Landre PHD, P.C.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071004694 Issued in IL

Legal business name

NANCY LANDRE PHD, P.C.

Practice address

2604 Dempster St
Suite 510
Park Ridge, IL 60068-8412

Phone

(847) 291-2758

Fax

(815) 455-4322

NPI assigned

Nov 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Landre, PH.D.NPI 1366593493

Title

Owner

Phone

(847) 219-2758

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy A Landre, PH.D.

  • Clinical Neuropsychologist
  • Des Plaines, IL
  • NPI 1366593493
  Medicare reassignment NPD Authorized official
• Theresa Campbell, PH.D.

  • Clinical Neuropsychologist
  • Elk Grove Village, IL
  • NPI 1578506168
  Medicare reassignment NPD

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1124355664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST",
            "address_2": "SUITE 510",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688412",
            "telephone_number": "847-291-2758",
            "fax_number": "815-455-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST",
            "address_2": "SUITE 510",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688412",
            "telephone_number": "847-291-2758",
            "fax_number": "815-455-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY LANDRE PHD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "LANDRE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-219-2758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071004694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidrah Najam, DO
• Elizabeth Ann Nakae
• Phuong Huynh Nakamura
• Shantesh Nalawadi, M.D.
• Nancy Elliott DC PC
• Jyoti Sharan Nandi, M.D.
• Alena Naqvi, MOT, OTR/L
• Sanjay Naran, M.D.
• Kris Narasimhan, M.D.,
• Jill Ann Narcisi, PSY.D.

• Clinical Neuropsychologist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.