Individual provider Active NPI

Samuel Landsman, PH.D.

  • Clinical Psychologist
  • Plainview, NY
National Provider Identifier
1700865953
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
011078 Issued in NY
Practice address
54 Sunnyside Blvd
Suite F
Plainview, NY 11803-1517
Phone
(516) 677-1932
Fax
(516) 677-1932
NPI assigned
Jan 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 011078 NY
Clinical Child & Adolescent Psychologist 103TC2200X 011078 NY
Clinical Psychologist 103TC0700X 011078 NY Primary

Addresses

Primary practice location

54 Sunnyside Blvd
Suite F
Plainview, NY 11803-1517

Mailing address

54 Sunnyside Blvd
Suite F
Plainview, NY 11803-1517
Phone (516) 677-1932

Other identifiers 4

IdentifierTypeStateIssuer
118372OtherNYVYTRA
6892895OtherNYGHI
011078OtherNYHIP
80374OtherNYUNITED BEHAVIORAL HEALTH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060105000075 NY Practitioner - Clinical Psychologist 7618990615 Practice locations: Plainview, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

54 Sunnyside Blvd
Suite F
Plainview, NY 11803-1517
Phone (516) 677-1932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
011078NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Landsman Clinical CurrentSince Jan 1, 1990 Accepting new patients
Sage Hill Counseling Psychotherapy Social Work LCSW PC. Past Accepting new patients

Locations

54 Sunnyside Blvd
Ste F
Plainview, NY 11803
Phone (516) 349-0355

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1700865953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SUNNYSIDE BLVD",
            "address_2": "SUITE F",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031517",
            "telephone_number": "516-677-1932",
            "fax_number": "516-677-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SUNNYSIDE BLVD",
            "address_2": "SUITE F",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031517",
            "telephone_number": "516-677-1932",
            "fax_number": "516-677-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDSMAN",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-14",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011078",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "011078",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "118372",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6892895",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "011078",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "80374",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.