Nancy A Landre, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071004694 Issued in IL

Practice address

960 Rand Rd Ste 218
Des Plaines, IL 60016-2355

Phone

(630) 546-5569

Fax

(630) 470-9139

NPI assigned

Jan 16, 2007

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nancy Landre PHD, P.C.

  • Clinical Neuropsychologist
  • Park Ridge, IL
  • NPI 1124355664
  Medicare reassignment NPD Authorized official
• Aspen Behavioral Care

  • Psychologist
  • Arlington HTS, IL
  • NPI 1093761439
  NPD (past)
• Midwest Center for Women's Health Care, LTD.

  • Obstetrics & Gynecology Physician
  • Bannockburn, IL
  • NPI 1447200654
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1366593493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 RAND RD STE 218",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162355",
            "telephone_number": "630-546-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 RAND RD STE 218",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162355",
            "telephone_number": "630-546-5569",
            "fax_number": "630-470-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRE",
        "first_name": "NANCY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071004694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard J Labotka, MD
• Lakeshore Affirmative Therapy PLLC
• Lakeview Family Doctors, LTD
• Jennifer Lamantia, RBT
• Landmark of Des Plaines Rehabilitation and Nursing Center LLC
• Lavender Physical Therapy, PLLC
• David Lavin, MSSW, LICSW, LCSW
• Rhiannon Kathleen Steffen Law, PH.D.
• Jean Lawlor
• Nancy L Lawson, R.N.

• Clinical Neuropsychologist in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.