Active NPI
Landsberg Psychological Services, P.C.
- Clinical Psychologist
- Independence, MO
National Provider Identifier
1164465233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 00375
- Legal business name
- LANDSBERG PSYCHOLOGICAL SERVICES, P.C.
- Practice address
- 4201 S. Hocker Dr.
Ste. B2
Independence, MO 64055-4723 - Phone
- (816) 373-7878
- Fax
- (816) 373-7621
- NPI assigned
- Jun 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dean Arnold Landsberg, M.S.
- Title
- President
- Phone
- (816) 373-7878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 00375 | MO | Primary |
Addresses
Primary practice location
4201 S. Hocker Dr.
Ste. B2
Independence, MO 64055-4723
Mailing address
4201 S. Hocker Dr.
Ste. B2
Independence, MO 64055-4723
Phone (816) 373-7878
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4343682 | Other | MO | MAGELLAN |
| 100719 | Other | MO | MHN |
| 613317 | Other | MO | KANSAS BLUE CROSS |
| S59878 | Other | MO | VALUE OPTIONS |
| 07185-014 | Other | MO | BLUECROSS/BLUESHIELD # |
| 6143117 | Other | MO | UBH |
National Provider Directory
National Provider DirectoryLocations
4201 S Hocker Dr
Ste B2
Independence, MO 64055
Phone (816) 373-7878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164465233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 S. HOCKER DR.",
"address_2": "STE. B2",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640554723",
"telephone_number": "816-373-7878",
"fax_number": "816-373-7621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 S. HOCKER DR.",
"address_2": "STE. B2",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640554723",
"telephone_number": "816-373-7878",
"fax_number": "816-373-7621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANDSBERG PSYCHOLOGICAL SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LANDSBERG",
"authorized_official_first_name": "DEAN",
"authorized_official_middle_name": "ARNOLD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "816-373-7878",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "00375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "4343682",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "100719",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS BLUE CROSS",
"identifier": "613317",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "S59878",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD #",
"identifier": "07185-014",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "6143117",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.