Sherri Landes PHD PA
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Feasterville, PA
NPI 1154623486 · NPPES record last updated Nov 18, 2010
Key facts
- NPI
- 1154623486
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- PS003801L (PA)
- Legal business name
- SHERRI LANDES PHD PA
- Practice address
- 1200 Bustleton Pike
Suite 4 B
Feasterville, PA 19053 - Phone
- (215) 364-0344
- Fax
- (215) 364-3931
- NPI assigned
- Nov 18, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Sherri Landes, PHD
- Title
- President
- Phone
- (215) 364-0344
Corporate family (same tax ID) 1
Practitioners 1
-
Sherri Landes, PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110107000661 | PA | Part B Supplier - Clinic/Group Practice | 4082803903 |
Receives reassigned benefits from 1 practitioner Practice locations: Feasterville, PA |
National Provider Directory
- Tax ID family
- Sherri Landes PHD PA
Locations
1200 Bustleton Pike
Ste 4B
Fstrvl Trvose, PA 19053
Phone (215) 364-0344
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | PS003801L | PA | Yes |
Addresses
Primary practice location
1200 Bustleton Pike
Suite 4 B
Feasterville, PA 19053
Mailing address
1200 Bustleton Pike
Suite 4 B
Feasterville, PA 19053
Phone (215) 364-0344
Other providers in Feasterville, PA
- Ridge Crest Inc
- Steven M Rosenberg
- Thomas E Sabalaske
- Michael Brian Salin
- Susan Semel
- Mila Sinderovsky
- Mikhail Slobodskoi
- Sma Medical, Inc.
- Joseph Terragrossa
- Thomas Duffield, MD, PC
All providers in Feasterville, PA · Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.