NPIMap

Organization Active NPI

Erik Lande, PHD, a Professional Psychological Corporation

  • Clinical Neuropsychologist
  • Camarillo, CA
National Provider Identifier
1972932481
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY19202 Issued in CA
Legal business name
ERIK LANDE, PHD, A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Practice address
1200 Paseo Camarillo Ste 245
Camarillo, CA 93010-6085
Phone
(805) 988-6197
NPI assigned
Nov 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Erik Lande, PH.D.NPI 1982684486
Title
President
Phone
(805) 988-6197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X PSY19202 CA Primary

Addresses

Primary practice location

1200 Paseo Camarillo Ste 245
Camarillo, CA 93010-6085

Mailing address

1200 Paseo Camarillo Ste 245
Camarillo, CA 93010-6085
Phone (805) 988-6197

Other names 1

  • Insight Neuropsychology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140717002361 CA Part B Supplier - Clinic/Group Practice 0648496125 Receives reassigned benefits from 5 practitioners
Practice locations: Camarillo, CA

National Provider Directory

National Provider Directory

Locations

445 Rosewood Ave
Ste K2
Camarillo, CA 93010
Phone (805) 988-6167

1200 Paseo Camarillo
Ste 245
Camarillo, CA 93010
Phone (805) 482-7866

Practitioners & affiliated clinicians

Practitioners 7

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": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972932481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PASEO CAMARILLO STE 245",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106085",
            "telephone_number": "805-988-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PASEO CAMARILLO STE 245",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106085",
            "telephone_number": "805-988-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIK LANDE, PHD, A PROFESSIONAL PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LANDE",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-988-6197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY19202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insight Neuropsychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.