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NANCY LANDRE PHD, P.C.
NPI 1124355664
Clinical Neuropsychologist in Park Ridge, IL

Active since November 04, 2009
2604 DEMPSTER ST, SUITE 510, PARK RIDGE, IL 60068(847) 291-2758(815) 455-4322 Get Directions Write a Review

NPPES record last updated: November 4, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nancy Landre Phd, P.c. NPPES

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

NANCY LANDRE PHD, P.C. (NPI 1124355664) is a healthcare organization registered as a clinical neuropsychologist in Park Ridge, Illinois and active in the NPI registry since November 2009. The organization lists Nancy Landre, Owner, as its authorized official.

NPPES Registry Identity

NPI1124355664
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameNANCY LANDRE PHD, P.C.
Location Address2604 DEMPSTER ST, SUITE 510Park Ridge, IL 60068-8412
Mailing Address2604 Dempster St, Suite 510Park Ridge, IL 60068-8412 · (847) 291-2758 · Fax (815) 455-4322
Phone(847) 291-2758
Fax(815) 455-4322
Organization SubpartNo
Authorized OfficialNancy LandreOwner · (847) 219-2758
Enumeration DateNovember 4, 2009
✔ NPI 1124355664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in IL · 071004694
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
2604 DEMPSTER ST, Park Ridge, IL 60068
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nancy Landre Phd, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nancy Landre Phd, P.C., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nancy Landre, PH.D.
Clinical Psychologist
NPI 1366593493
960 RAND RD STE 218
Des Plaines, IL 60016
(630) 546-5569
✔ PECOS2.4 mi
Theresa Campbell, PH.D.
Clinical Psychologist
NPI 1578506168
800 BIESTERFIELD RD STE 610
Elk Grove Village, IL 60007
(847) 981-3630
✔ PECOS✔ Accepts Medicare8.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nancy Landre Phd, P.C.'s NPI number?

The NPI number for Nancy Landre Phd, P.C. is 1124355664. It was assigned to this organization in the NPPES registry on November 4, 2009.

Where is Nancy Landre Phd, P.C. located?

Nancy Landre Phd, P.C. is located at 2604 Dempster St Suite 510, Park Ridge, IL 60068. The listed phone number is (847) 291-2758.

What is Nancy Landre Phd, P.C.'s specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Nancy Landre Phd, P.C. enrolled in Medicare?

Yes. Nancy Landre Phd, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nancy Landre Phd, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Nancy Landre Phd, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nancy Landre Phd, P.C. was last updated on November 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.