Active NPI
Dean Arnold Landsberg, LICENSED PSYCHOLOGIS
- Clinical Psychologist
- Independence, MO
National Provider Identifier
1316044639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 00375
- Practice address
- 4201 S Hocker Dr Ste B2
Independence, MO 64055-4763 - Phone
- (816) 373-7878
- Fax
- (816) 373-7621
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 00375 | MO | Primary |
Addresses
Primary practice location
4201 S Hocker Dr Ste B2
Independence, MO 64055-4763
Mailing address
7921 N Park
Kansas City, MO 64018
Phone (816) 436-1137
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100719 | Other | MO | MHN |
| 07185014 | Other | MO | BLUECROSS/BLUESHIELD |
| 6143117 | Other | MO | UBH |
| 613317 | Other | KS | KS BLUECROSS |
| S59878 | Other | MO | VALUE OPTIONS |
| 4343682 | Other | MO | MAGELLAN |
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 |
|---|---|---|---|
| 00375 | MO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1316044639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7921 N PARK",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64018",
"telephone_number": "816-436-1137",
"fax_number": "816-373-7621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 S HOCKER DR STE B2",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640554763",
"telephone_number": "816-373-7878",
"fax_number": "816-373-7621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDSBERG",
"first_name": "DEAN",
"middle_name": "ARNOLD",
"credential": "LICENSED PSYCHOLOGIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "00375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "100719",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD",
"identifier": "07185014",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "6143117",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KS BLUECROSS",
"identifier": "613317",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "S59878",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "4343682",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.