DR. CAROL J LANDESMAN (NPI# 1770630485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770630485 |
| Entity Type | Individual |
| Full Name | DR. CAROL J LANDESMAN |
| Credential | PH.D. |
| Practice Address |
8347 Se Orient Dr Gresham OR 97080-8848 |
| Practice Telephone | 5036637767 |
| Practice Fax Number | 5036637274 |
| Mailing Telephone | 5036637767 |
| Mailing Fax Number | 5036637274 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 858 | OR | Behavioral Health & Social Service Providers |
| Street Address |
8347 SE ORIENT DR |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080-8848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
| Find all providers in zip 97080 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598880411 | Elizabeth Kirkhart | Psychologist | 1375 Sw Blaine Ct, Gresham, OR 97080-5383 | 2007-03-20 |
| 1659463727 | Jeanne G. Tyler | Psychologist | 24850 S.e. Stark St., Suite 200, Gresham, OR 97030 | 2006-09-28 |
| 1588645055 | John D Adler | Psychologist | 510 Ne Roberts Ave, #330, Gresham, OR 97030-7404 | 2005-11-10 |
| 1508856642 | Charles Richard O'bannon | Psychologist | 123 E Powell Blvd, Ste. 212, Gresham, OR 97030-7622 | 2005-10-27 |
| 1437778867 | Joseph Brian Rosas | Psychologist | 4101 Ne Division St Ste 100, Gresham, OR 97030-4617 | 2020-04-15 |
| 1215584776 | Patricia Renee Shimek | Psychologist | 2222 E Powell Blvd, Gresham, OR 97080-1365 | 2019-08-20 |
| 1619443934 | Rebecca Youssef | Psychologist | 440 Nw Division St, Gresham, OR 97030-5506 | 2018-10-15 |
| 1609276781 | Grant Hart | Psychologist | 2222 E Powell Blvd, Gresham, OR 97080-1365 | 2014-08-26 |
| 1063761716 | Clark Paul Rector | Psychologist | 1700 Nw Civic Dr, Gresham, OR 97030-3770 | 2012-09-09 |
| 1598882821 | Gregory G. Morse | Psychologist | 320 N Main Ave, Suite 201, Gresham, OR 97030-7242 | 2007-03-23 |
| Find all providers in GRESHAM | ||||
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| 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.