SHERRI LANDES


Address: 1200 Bustleton Pk, Suite 4b, Feasterville Trevose, PA 19053-4118
Phone: 2153640344

SHERRI LANDES (NPI# 1205983301) 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) 1205983301
Entity Type Individual
Full Name SHERRI LANDES
Credential PH.D.
Practice Address 1200 Bustleton Pk
Suite 4b
Feasterville Trevose
PA 19053-4118
Mailing Address 1200 Bustleton Pike
Suite 4b
Feasterville Trevose
PA 19053-4118
Practice Telephone 2153640344
Practice Fax Number 2153643931
Mailing Telephone 2153640344
Mailing Fax Number 2153643931
Enumeration Date 2007-01-04
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PS003801L PA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA VALUE OPTIONS 167033 01
PA BLUE CROSS 73890 01

Office Location

Street Address 1200 BUSTLETON PK
SUITE 4B
City FEASTERVILLE TREVOSE
State PA
Zip Code 19053-4118

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1801263165 Kristi Ann Wert Nurse Practitioner 4829 E. Street Rd, Trevose, PA 19053 2015-08-21
1841675113 Marlene Lisa Levis Pharmacist 176 West Street Road, Feasterville, PA 19053 2015-07-28
1578802229 Colleen Joan Garneau Registered Nurse 2500 N Gate Rd, Trevose, PA 19053 2013-01-31
1225306376 Michael J Fanelli Pharmacist 2 E. Street Rd, Feasterville, PA 19053 2011-12-05
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023239993 Sherri Landes, Ph.d. Pa Psychologist 1200 Bustleton Pike, Suite 4b, Feasterville Trevose, PA 19053-4118 2007-05-01
1083763320 Michael Joseph Bradley Psychologist 1200 Bustleton Pike, Suite 15-b, Feasterville Trevose, PA 19053-4118 2007-01-09

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Competitor

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City FEASTERVILLE TREVOSE
Zip Code 19053

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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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