Sherri Landes, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS003801L Issued in PA

Practice address

1200 Bustleton PK
Suite 4B
Feasterville Trevose, PA 19053-4118

Phone

(215) 364-0344

Fax

(215) 364-3931

NPI assigned

Jan 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sherri Landes PHD PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Feasterville, PA
  • NPI 1154623486
  Medicare reassignment NPD Authorized official
• Sherri Landes, PH.D. PA

  • Psychologist
  • Feasterville Trevose, PA
  • NPI 1023239993
  NPD (past) Authorized official

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205983301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BUSTLETON PIKE",
            "address_2": "SUITE 4B",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190534118",
            "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 PK",
            "address_2": "SUITE 4B",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190534118",
            "telephone_number": "215-364-0344",
            "fax_number": "215-364-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDES",
        "first_name": "SHERRI",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS003801L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "167033",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "73890",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Denise Lawall-Lucas
• Jade Laycock, MD

• Psychologist in Feasterville Trevose, PA
• Providers in Feasterville Trevose, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.