Gregory C. Landrum, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0003587 Issued in FL

Practice address

11080 SE Dixie Hwy
Hobe Sound, FL 33455-5114

Phone

(772) 546-9103

Fax

(772) 546-7667

NPI assigned

Apr 27, 2009

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1407090012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11080 SE DIXIE HWY",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555114",
            "telephone_number": "772-546-9103",
            "fax_number": "772-546-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11080 SE DIXIE HWY",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555114",
            "telephone_number": "772-546-9103",
            "fax_number": "772-546-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRUM",
        "first_name": "GREGORY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0003587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Mark Kelley, M.D.
• Vickie Koder
• Mark Jeffrey Kowalcyk, CRNA
• Sarah Lalla
• Laura Lambert, COTA
• Rhonda L Larimore, FNP-C
• Peter Joseph Lascheid, DDS
• Sandra Lessa
• Beryl Licu, P.T.
• Paul Licu, PT

• Clinical Psychologist in Hobe Sound, FL
• Providers in Hobe Sound, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.