Organization Active NPI

Landsberg Psychological Services, P.C.

  • Clinical Psychologist
  • Independence, MO
National Provider Identifier
1164465233
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
00375 Issued in MO
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4343682OtherMOMAGELLAN
100719OtherMOMHN
613317OtherMOKANSAS BLUE CROSS
S59878OtherMOVALUE OPTIONS
07185-014OtherMOBLUECROSS/BLUESHIELD #
6143117OtherMOUBH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.