MARIA COSTABILE LANDA (NPI# 1740265016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740265016 |
| Entity Type | Individual |
| Full Name | MARIA COSTABILE LANDA |
| Credential | PHD |
| Practice Address |
5617 Maxwell Pl Wilmington NC 28409-2966 |
| Mailing Address |
Po Box 16310 Wilmington NC 28408-6310 |
| Practice Telephone | 9107429243 |
| Practice Fax Number | 8887461787 |
| Mailing Telephone | 9107429243 |
| Mailing Fax Number | 8887461787 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2014-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY003722 | GA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY22489 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE | PSY003722 | 01 |
| SC | SC LICENSE | 1160 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417251133 | Maria Campos Landa | Marriage & Family Therapist | 19742 Macarthur Blvd Ste 100, Irvine, CA 92612-2408 | 2011-01-10 |
| 1861689739 | Maria Dolores Landa | Social Worker | 5340 Docia Circle, Fayetteville, NC 28314-5121 | 2007-09-25 |
| Street Address |
5617 MAXWELL PL |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28409-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171109 | Ronny Eric Wright Jr. | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2005-08-22 |
| 1578979985 | Stephen Francis Mceachen | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2014-07-07 |
| 1114332343 | Susan R Leonard | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2014-06-26 |
| 1235425323 | Maryann Catherine Richardson | Nurse Practitioner | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2011-06-27 |
| 1154629186 | Heather D Finney | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2011-02-28 |
| 1245549021 | Lois H Reed | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2010-09-28 |
| 1427366160 | Stephania Blakley Jordan | Nurse Practitioner | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2010-09-15 |
| 1841504388 | Regina Lynette Mcconley | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2010-07-26 |
| 1609109586 | David Glenn Yarborough IIi | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2009-09-10 |
| 1730335449 | Stevan Michael Clifton | Physician Assistant | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2008-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916728 | Emily Savannah Holland | Specialist/Technologist | 1150 King's Hwy, Wilmington, NC 28409 | 2020-09-09 |
| 1912373465 | Thomas Malenfant | Hearing Instrument Specialist | 474 New Centre Drive, #6, Wilmington, NC 28409 | 2015-08-19 |
| 1720482862 | Leslie Morton Garris | Pharmacist | 6013 Chancellorville Drive, Wilmington, NC 28409 | 2014-10-17 |
| 1659621720 | Charles Warren Moorehead | Social Worker | 5710 Oleander Dr. Suite 208, Wilmington, NC 28409 | 2012-09-14 |
| 1992972020 | Nancy Beth Kotz | Social Worker | 6211 Terrapin Ct, Wilmington, NC 28409 | 2008-05-08 |
| 1366611089 | Michael Royce Penland | Psychologist | 5002-1 Hewletts Run, Wilmington, NC 28409 | 2008-02-27 |
| 1184755092 | Keith W Mann | Dentist | 818-101 Pine Grove Drive, Wilmington, NC 28409 | 2007-03-09 |
| 1477650554 | Jeffrey Beecham Chick | Specialist | 1201 Porches Dr, Suite 2, Wilmington, NC 28409 | 2006-09-20 |
| 1407964067 | Richard A. Lally | Counselor | 5425 Golden Eagle Court, Wilmington, NC 28409 | 2006-08-25 |
| 1598290520 | Monaca Lachman | Counselor | 6020 Leeward Ln, Wilmington, NC 28409-0129 | 2017-04-27 |
| Find all providers in zip 28409 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547953 | Melanie F. Lipton | Psychologist | 1601 Kirkwood Hwy Fl 3, Wilmington, DE 19805-4917 | 2019-09-19 |
| 1063962512 | Toni D. Hickman, LLC | Psychologist | 36 Paxon Dr, Wilmington, DE 19803-2002 | 2016-10-08 |
| 1154771871 | Patricia Maynard | Psychologist | 230 Lowell St Ste 2-j, Wilmington, MA 01887-3087 | 2016-06-14 |
| 1881050904 | Toni Dean Hickman | Psychologist | 1813 Marsh Rd, Ste C, Wilmington, DE 19810-4544 | 2016-01-05 |
| 1396117040 | Stacey Marie Boyer | Psychologist | 405 Foulk Road, Wilmington, DE 19803 | 2015-10-21 |
| 1720383193 | Kristen Lane Sprout | Psychologist | 2417 Silverside Rd, Wilmington, DE 19810-4531 | 2011-01-17 |
| 1548564487 | Pamela Calvert-hirt | Psychologist | 326 Hampton Rd, Wilmington, DE 19803-2420 | 2011-01-07 |
| 1801199583 | Jill N Baillio | Psychologist | 205 S 5th Ave, Unit 3, Wilmington, NC 28401-4549 | 2010-12-17 |
| 1114151594 | Crossroads Counseling, P.C. | Psychologist | 4320 Wrightsville Ave, Suite B, Wilmington, NC 28403-6336 | 2009-05-13 |
| 1164663258 | Rah Inc. | Psychologist | 111 Chatham Pl, Wilmington, DE 19810-4441 | 2009-03-19 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28409 |
Please comment or provide details below to improve the information on MARIA COSTABILE LANDA.
| 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.