Active NPI
Benjamin Landman, PSY.D.
- Clinical Psychologist
- Chapel Hill, NC
National Provider Identifier
1609918564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2939
- Practice address
- 104 S Estes Dr
Suite 206
Chapel Hill, NC 27514-2866 - Phone
- (919) 923-7410
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2939 | NC | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | 2939 | NC | |
| Group Psychotherapy Psychologist | 103TP2701X | 2939 | NC |
Addresses
Primary practice location
104 S Estes Dr
Suite 206
Chapel Hill, NC 27514-2866
Mailing address
104 S Estes Dr
Suite 206
Chapel Hill, NC 27514-2866
Phone (919) 923-7410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective May 18, 2017 through May 18, 2027
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": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1609918564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 S ESTES DR",
"address_2": "SUITE 206",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275142866",
"telephone_number": "919-923-7410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 S ESTES DR",
"address_2": "SUITE 206",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275142866",
"telephone_number": "919-923-7410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDMAN",
"first_name": "BENJAMIN",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "2939",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NC",
"license": "2939",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NC",
"license": "2939",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.