David Landry, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1224 Issued in LA

Practice address

200 Beaullieu Dr
BLDG 9-B1
Lafayette, LA 70508-7230

Phone

(337) 504-3483

NPI assigned

Feb 25, 2013

Sex

Male

Sole proprietor

Yes

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

Enrolled in LA

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

Louisiana State University School of Medicine in Shreveport, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. David Landry, PH.D., LLCGroup PAC ID 1759794852, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. David Landry, PH.D., LLC

  • Psychologist
  • New Iberia, LA
  • NPI 1265995484
  Medicare reassignment Care Compare group NPD Authorized official
• Landry Psychological Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Iberia, LA
  • NPI 1134690696
  NPD Authorized official
• Dr. Renee' Babin Bonin, L.L.C.

  • Prescribing (Medical) Psychologist
  • Lafayette, LA
  • NPI 1992013569

  Clinical

  NPD (past)

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1689914822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 HARBOR RD",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925697",
            "telephone_number": "337-380-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BEAULLIEU DR",
            "address_2": "BLDG 9-B1",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087230",
            "telephone_number": "337-504-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "1224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chip Landry, PA-C
• Claire Andries Landry
• Craig S Landry, DDS
• Cynthia Kyra Landry, APRN-BC
• Daniel Landry, PT
• Dawne Landry, PHARMD
• Destiny L Landry
• Erin D Landry
• Heather Tou Landry, LPC
• Jacob Edward Landry, M.D.

• Clinical Psychologist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Clinical Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.