Individual provider Active NPI

Stephen Gerald Landau, MD

  • Psychiatry Physician
  • Livonia, MI
National Provider Identifier
1346316023
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301028265 Issued in MI
Practice address
37727 Professional Center Dr
Suite 115 D
Livonia, MI 48154-1195
Phone
(734) 953-0405
Fax
(734) 953-9747
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301028265 MI Primary

Addresses

Primary practice location

37727 Professional Center Dr
Suite 115 D
Livonia, MI 48154-1195

Mailing address

37727 Professional Center Dr
Suite 115 D
Livonia, MI 48154-1195
Phone (734) 953-0405

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301028265MIMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346316023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37727 PROFESSIONAL CENTER DR",
            "address_2": "SUITE 115 D",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541195",
            "telephone_number": "734-953-0405",
            "fax_number": "734-953-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37727 PROFESSIONAL CENTER DR",
            "address_2": "SUITE 115 D",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541195",
            "telephone_number": "734-953-0405",
            "fax_number": "734-953-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDAU",
        "first_name": "STEPHEN",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301028265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.