Organization Active NPI

Sherri Landes PHD PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Feasterville, PA
National Provider Identifier
1154623486
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
PS003801L Issued in 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
Last updated
Nov 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Dr. Sherri Landes, PHDNPI 1205983301
Title
President
Phone
(215) 364-0344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X PS003801L PA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110107000661 PA Part B Supplier - Clinic/Group Practice 4082803903 Receives reassigned benefits from 1 practitioner
Practice locations: Feasterville, PA

National Provider Directory

National Provider Directory
Tax ID family
Sherri Landes PHD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1200 Bustleton Pike
Ste 4B
Fstrvl Trvose, PA 19053
Phone (215) 364-0344

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1154623486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BUSTLETON PIKE",
            "address_2": "SUITE 4 B",
            "city": "FEASTERVILLE",
            "state": "PA",
            "postal_code": "19053",
            "telephone_number": "215-364-0344",
            "fax_number": "215-364-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BUSTLETON PIKE",
            "address_2": "SUITE 4 B",
            "city": "FEASTERVILLE",
            "state": "PA",
            "postal_code": "19053",
            "telephone_number": "215-364-0344",
            "fax_number": "215-364-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRI LANDES PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "LANDES",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-364-0344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "PS003801L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.