Active NPI
Betsy Landau, PHD
- Psychologist
- Forest Hills, NY
National Provider Identifier
1295890325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 008781-1
- Practice address
- 9415 69TH Ave
Forest Hills, NY 11375-5857 - Phone
- (718) 268-5829
- Fax
- (718) 575-9667
- NPI assigned
- Dec 27, 2006
- Last updated
- Sep 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 008781-1 | NY | Primary |
Addresses
Primary practice location
9415 69TH Ave
Forest Hills, NY 11375-5857
Mailing address
9415 69TH Ave
Forest Hills, NY 11375-5857
Phone (718) 268-5829
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V4A311 | Other | NY | BLUE CROSS/BLUE SHIELD |
| 011025 | Other | NY | VALUE OPTIONS |
| 01145275 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008781-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1295890325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9415 69TH AVE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755857",
"telephone_number": "718-268-5829",
"fax_number": "718-575-9667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9415 69TH AVE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755857",
"telephone_number": "718-268-5829",
"fax_number": "718-575-9667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDAU",
"first_name": "BETSY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "008781-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "V4A311",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "011025",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01145275",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.