RICHARD J LANDAU


Address: 913 W Van Buren St Apt 5c, Chicago, IL 60607-3528
Phone: 7346468788

RICHARD J LANDAU (NPI# 1407479447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407479447
Entity Type Individual
Full Name RICHARD J LANDAU
Credential PH.D.
Practice Address 913 W Van Buren St Apt 5c
Chicago
IL 60607-3528
Mailing Address 5340 Plymouth Rd Ste 200
Ann Arbor
MI 48105-9341
Practice Telephone 7346468788
Mailing Telephone 7346468788
Enumeration Date 2020-05-26
Last Update Date 2020-05-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
071009794 IL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5340 Plymouth Rd Ste 200, Ann Arbor, MI 481059341 7346468788

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Office Location

Street Address 913 W VAN BUREN ST APT 5C
City CHICAGO
State IL
Zip Code 60607-3528

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992349237 Portia Dowd Registered Nurse 140 N Ashland, Chicago, IL 60607 2019-10-30
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1851883425 Alefiyah Zulfiqar Pishori Psychologist 1200 West Harrison St, Chicago, IL 60607 2018-05-30
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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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1548501570 Dr. Conron and Associates Psychologist 625 N Michigan Ave Ste 1715, Chicago, IL 60611-3685 2013-03-15
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Competitor

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City CHICAGO
Zip Code 60607

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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