Individual provider Active NPI

Amy Elizabeth Lansing, PH.D.

  • Clinical Psychologist
  • La Jolla, CA
National Provider Identifier
1841385341
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY17662 Issued in CA
Practice address
University of California, San Diego
9500 Gilman Drive MC 0949
La Jolla, CA 92093-0949
Phone
(858) 534-4102
Fax
(858) 534-4114
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY17662 CA Primary

Addresses

Primary practice location

University of California, San Diego
9500 Gilman Drive MC 0949
La Jolla, CA 92093-0949

Mailing address

University of California, San Diego
9500 Gilman Drive MC 0949
La Jolla, CA 92093-0949
Phone (858) 534-4102

Other identifiers 1

IdentifierTypeStateIssuer
PSY17662OtherCAPSYCHOLOGIST 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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY17662CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841385341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF CALIFORNIA, SAN DIEGO",
            "address_2": "9500 GILMAN DRIVE MC 0949",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930949",
            "telephone_number": "858-534-4102",
            "fax_number": "858-534-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF CALIFORNIA, SAN DIEGO",
            "address_2": "9500 GILMAN DRIVE MC 0949",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930949",
            "telephone_number": "858-534-4102",
            "fax_number": "858-534-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANSING",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "PSY17662",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.