Organization Active NPI

Thomas J. Lantsberger, PH.D. LLC

  • Psychologist
  • Chesterfield, MO
National Provider Identifier
1952470668
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
M001687 Issued in MO
Legal business name
THOMAS J. LANTSBERGER, PH.D. LLC
Practice address
14561 North Outer 40 Road
Suite 250
Chesterfield, MO 63017
Phone
(314) 881-4260
Fax
(314) 881-4262
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Ms. Melissa M. Lantsberger, M.S.
Title
Office Manager
Phone
(314) 881-4260

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X M001687 MO Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 01687 MO
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X MO0004978 MO

Addresses

Primary practice location

14561 North Outer 40 Road
Suite 250
Chesterfield, MO 63017

Mailing address

14561 North Outer 40 Road
Suite 250
Chesterfield, MO 63017
Phone (314) 881-4260

National Provider Directory

National Provider Directory

Locations

14561 North Outer 40 Rd
Ste 250
Chesterfield, MO 63017
Phone (314) 881-4260

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1952470668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14561 NORTH OUTER 40 ROAD",
            "address_2": "SUITE 250",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-881-4260",
            "fax_number": "314-881-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14561 NORTH OUTER 40 ROAD",
            "address_2": "SUITE 250",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-881-4260",
            "fax_number": "314-881-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. LANTSBERGER, PH.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "LANTSBERGER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-881-4260",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MO",
            "license": "M001687",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "01687",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MO",
            "license": "MO0004978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.