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LANDINGS FAMILY & PSYCHOLOGICAL CENTER INC. NPI 1790952000


NPI Information

NPI: 1790952000
Provider Name: LANDINGS FAMILY & PSYCHOLOGICAL CENTER, INC.
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
32730 WALKER RD
SUITE I-5
AVON LAKE, OH
ZIP 44012
Phone: (440) 933-8770
Get Directions

LANDINGS FAMILY & PSYCHOLOGICAL CENTER, INC. is a clinical psychologist in Avon Lake, OH. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. LANDINGS FAMILY & PSYCHOLOGICAL CENTER, INC. NPI is 1790952000. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

32730 WALKER RD
SUITE I-5
AVON LAKE, OH
ZIP 44012-100
Phone: (440) 933-8770
Fax: (440) 933-8991

The provider's authorized official is Ronald J Mistur .
The authorized official title is Licensed Psychologist and has the following contact phone number (440) 933-8770.

The enumeration date for this NPI number is 5/15/2008 and was last updated on 10/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalI1717OHIONo
21041C0700XSocial WorkerClinicalI1878OHIONo
31041C0700XSocial WorkerClinicalI2914OHIONo
4103TC0700XPsychologistClinical1813OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MICP07761MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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