Landstrom Neuropsychological Center, PC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071.009077 Issued in IL

Legal business name

LANDSTROM NEUROPSYCHOLOGICAL CENTER, PC

Practice address

1933 N Meacham Rd Ste 750
Schaumburg, IL 60173-4368

Phone

(708) 665-5170

Fax

(847) 906-1086

NPI assigned

Aug 19, 2015

Organization subpart

No

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

Authorized official

Name

Matthew Landstrom, PSY.D.NPI 1336527613

Title

Owner

Phone

(630) 988-2802

Specialties & licenses 1

Addresses

Other names 1

• Landstrom Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew John Landstrom, PSY.D.

  • Clinical Neuropsychologist
  • Schaumburg, IL
  • NPI 1336527613
  Medicare reassignment Care Compare group NPD Authorized official
• Chris Rehmann, LPC

  • Counselor
  • Schaumburg, IL
  • NPI 1497500557
  Medicare reassignment Care Compare group NPD
• Kelsey Erin Oster, PSYD

  • Clinical Neuropsychologist
  • Schaumburg, IL
  • NPI 1083122766
  Medicare reassignment Care Compare group
• Marc I Oster, PSY.D.

  • Psychologist
  • Deerfield, IL
  • NPI 1114069093
  Medicare reassignment NPD
• Sarah Riccio, PSYD

  • Clinical Neuropsychologist
  • Schaumburg, IL
  • NPI 1184501512
  Medicare reassignment NPD
• Emma L Leitzinger, PSYD

  • Psychologist
  • Middleton, WI
  • NPI 1679109433

  IL, Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1255707642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 N MEACHAM RD STE 750",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734368",
            "telephone_number": "708-665-5170",
            "fax_number": "847-906-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 N MEACHAM RD STE 750",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734368",
            "telephone_number": "708-665-5170",
            "fax_number": "847-906-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDSTROM NEUROPSYCHOLOGICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "LANDSTROM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-988-2802",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071.009077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landstrom Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Lake, LCSW
• Melisa Laman, LMFT
• Babak Lami, M.D.
• Emily Gail Lammers, PHARMD
• Kassandra Landeros, RBT
• Matthew John Landstrom, PSY.D.
• Carson Lane
• Jennifer Lang, PSYD
• Linda Leah Lang, PA-C
• Eleni Efstathia Langas

• Clinical Neuropsychologist in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.