Individual provider Active NPI

Mary Therese Landers, L.P.

  • Psychoanalyst
  • New York, NY
National Provider Identifier
1760052013
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
1077 Issued in NY
Practice address
355 East 72ND Street
#2J
New York, NY 10021-4644
Phone
(646) 201-8053
Fax
(212) 861-0199
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychoanalystGroup: 193200000X MULTI-SPECIALTY GROUP 102L00000X 1077 NY Primary

Addresses

Primary practice location

355 East 72ND Street
#2J
New York, NY 10021-4644

Mailing address

355 East 72ND Street
#2J
New York, NY 10021-4644
Phone (646) 201-8053

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

LicenseStateTypeSpecialty
1077NYMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1760052013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 EAST 72ND STREET",
            "address_2": "#2J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214644",
            "telephone_number": "646-201-8053",
            "fax_number": "212-861-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 EAST 72ND STREET",
            "address_2": "#2J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214644",
            "telephone_number": "646-201-8053",
            "fax_number": "212-861-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDERS",
        "first_name": "MARY",
        "middle_name": "THERESE",
        "name_prefix": "Ms.",
        "credential": "L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "1077",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.