Active NPI
Dr. David Landry, PH.D., LLC
- Psychologist
- New Iberia, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- DR. DAVID LANDRY, PH.D., LLC
- Practice address
- 203 W Main St Ste 105
New Iberia, LA 70560-3795 - Phone
- (337) 374-1952
- Fax
- (337) 205-6171
- NPI assigned
- Apr 14, 2019
- 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
- Dr. David Landry, PHD
- Title
- Clinical Psychologist
- Phone
- (337) 374-1952
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
203 W Main St Ste 105
New Iberia, LA 70560-3795
Mailing address
203 W Main St Ste 105
New Iberia, LA 70560-3795
Phone (337) 374-1952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Dr David Landry PHD LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Iberia, LA
- NPI 1134690696
Locations
116 W Washington St
New Iberia, LA 70560
Phone (337) 374-1952
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Lafayette, LA
- NPI 1689914822
-
- Psychiatric/Mental Health Nurse Practitioner
- Lafayette, LA
- NPI 1558976084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555200000000",
"number": "1265995484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 W MAIN ST STE 105",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705603795",
"telephone_number": "337-374-1952",
"fax_number": "337-205-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 W MAIN ST STE 105",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705603795",
"telephone_number": "337-374-1952",
"fax_number": "337-205-6171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. DAVID LANDRY, PH.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-14",
"last_updated": "2019-04-14",
"status": "A",
"authorized_official_last_name": "LANDRY",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "337-374-1952",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2019; 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.