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DR. EDWARD SPENCER LANDRETH PSYD
NPI 1104866946
Psychologist - Clinical in Skokie, IL

Active since June 08, 2006
4709 GOLF ROAD, SUITE 1150, SKOKIE, IL 60076(773) 213-1232 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Edward Spencer Landreth Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD SPENCER LANDRETH PSYD (NPI 1104866946) is an individual clinical provider in Skokie, Illinois, licensed in Illinois (071006758) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1104866946
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. EDWARD SPENCER LANDRETHCredential: PSYD
Location Address4709 GOLF ROAD, SUITE 1150Skokie, IL 60076-1252
Mailing Address4709 Golf Road, Suite 1150Skokie, IL 60076-1252 · (773) 213-1232
Phone(773) 213-1232
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateApril 6, 2016
✔ NPI 1104866946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071006758
Definition
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.
4709 GOLF ROAD, Skokie, IL 60076
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Other Identifiers 2

Other0001635205IL · Bcbs Il
Medicare UPINQ62567IL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK J LANDAU DDS LTD
Dentist (General Practice)
4709 GOLF ROAD, SUITE 809
SKOKIE, IL 60076
Cook County (847) 675-2100
WILLIS ABT DENTAL PRACTICE
Dentist (General Practice)
4709 GOLF ROAD, SUITE 1005 2 CONCOURSE OFFICE PLAZA
SKOKIE, IL 60076
Cook County (847) 677-2404
DR. CATHERINE ANN KIEFT PSY.D.
Psychologist (Clinical Child & Adolescent)
4709 GOLF ROAD, SUITE 1150
SKOKIE, IL 60076
Cook County (773) 259-7732

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Landreth's NPI number?

The NPI number for Edward Landreth is 1104866946. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Edward Landreth located?

Edward Landreth practices at 4709 Golf Road Suite 1150, Skokie, IL 60076. The listed phone number is (773) 213-1232.

What is Edward Landreth's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Edward Landreth was last updated on April 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.