Ralph E. Landefeld PH.D. P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS002990L Issued in PA

Legal business name

RALPH E. LANDEFELD PH.D. P.C.

Practice address

15957 Conneaut Lake Rd.
Suite 7
Meadville, PA 16335

Phone

(814) 336-5387

Fax

(814) 807-1416

NPI assigned

Jun 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ralph Edwin Landefeld, PH.D.NPI 1073557138

Title

Owner/Psychologist

Phone

(724) 601-4901

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Ralph Edwin Landefeld, PH.D.

  • Psychologist
  • Meadville, PA
  • NPI 1073557138
  NPD (past) Authorized official

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1326368374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10159 NANCY DRIVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "16335",
            "telephone_number": "814-336-5387",
            "fax_number": "814-817-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15957 CONNEAUT LAKE RD.",
            "address_2": "SUITE 7",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "16335",
            "telephone_number": "814-336-5387",
            "fax_number": "814-807-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH E. LANDEFELD PH.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "LANDEFELD",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "724-601-4901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS002990L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146700",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Meadville, PA
• Providers in Meadville, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.