Active NPI
Brooke Anne Landry, PHD, LP
- Psychologist
- Plymouth, MI
National Provider Identifier
1447975594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301019920
- Practice address
- 632 N Mill St
Plymouth, MI 48170-1422 - Phone
- (735) 335-0330
- NPI assigned
- Oct 10, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301019920 | MI | Primary |
Addresses
Primary practice location
632 N Mill St
Plymouth, MI 48170-1422
Mailing address
632 N Mill St
Plymouth, MI 48170-1422
Phone (810) 813-6870
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785628800000",
"number": "1447975594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 N MILL ST",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701422",
"telephone_number": "810-813-6870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 N MILL ST",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701422",
"telephone_number": "735-335-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "BROOKE",
"middle_name": "ANNE",
"credential": "PHD, LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-10",
"last_updated": "2026-08-02",
"certification_date": "2026-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301019920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.