Active NPI
Landon M Coleman, DNP, PMHNP-BC
- Psychiatry Physician
- New York, NY
National Provider Identifier
1689113805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2372804
- Practice address
- 1199 Park Ave Apt 1C
New York, NY 10128-1712 - Phone
- (212) 828-7473
- NPI assigned
- Feb 21, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP135672 | TX | |
| Psychiatry Physician | 2084P0800X | 2372804 | NY | Primary |
Addresses
Primary practice location
1199 Park Ave Apt 1C
New York, NY 10128-1712
Mailing address
1199 Park Ave Apt 1C
New York, NY 10128-1712
Phone (201) 986-6626
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017000810 | Other | ANCC BOARD CERTIFICATION | |
| G153038 | Other | IA | APRN STATE LICENSE |
| 2372804 | Other | NY | NEW YORK APRN |
| 761730 | Other | TX | RN STATE LICENSE |
| AP135672 | Other | TX | APRN STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2372804 | NY | MD | Psychiatry Physician |
| AP135672 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1689113805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1199 PARK AVE APT 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281712",
"telephone_number": "201-986-6626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 PARK AVE APT 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281712",
"telephone_number": "212-828-7473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "LANDON",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DNP, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-21",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP135672",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "2372804",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCC BOARD CERTIFICATION",
"identifier": "2017000810",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN STATE LICENSE",
"identifier": "G153038",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK APRN",
"identifier": "2372804",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN STATE LICENSE",
"identifier": "761730",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN STATE LICENSE",
"identifier": "AP135672",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.