Michelle Landberg, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

007330-1 Issued in NY

Practice address

5 Mueller Mountain Rd
Putnam Valley, NY 10579-3313

Phone

(845) 528-1907

Fax

(845) 528-1907

NPI assigned

Sep 9, 2006

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

Other names 1

• Dr. Michelle Landberg Berner Professional name

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Psychologist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1157760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679677827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MUELLER MOUNTAIN RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793313",
            "telephone_number": "845-528-1907",
            "fax_number": "845-528-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MUELLER MOUNTAIN RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793313",
            "telephone_number": "845-528-1907",
            "fax_number": "845-528-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDBERG",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "007330-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BERNER",
            "middle_name": "LANDBERG",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Madhavi Katikaneni, MD
• Rhonda Lynn Kaufman, DDS
• Christopher Dale Kennedy, P.T.
• Jennifer Kilduff
• Susan Kovacs, OT
• Sayaka Larsen
• Mairead Ann Leonard, P.T.
• Kimberly Lotz, PSY.D.
• Michele Lussier, OTD, OTR/L
• Agnieszka Malinska, OTR/L

• Psychologist in Putnam Valley, NY
• Providers in Putnam Valley, NY by specialty
• Psychologist in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.