DR. MATTHEW JOHN LANDSTROM PSY.D. - NPI 1336527613 - Clinical Neuropsychologist in Schaumburg, IL

Q: What is Matthew Landstrom's NPI number?

The NPI number for Matthew Landstrom is 1336527613. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Q: What is Matthew Landstrom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Landstrom was last updated on February 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Matthew John Landstrom Psy.d. NPPES

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

DR. MATTHEW JOHN LANDSTROM PSY.D. (NPI 1336527613) is an individual clinical neuropsychologist in Schaumburg, Illinois and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1336527613

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. MATTHEW JOHN LANDSTROMCredential: PSY.D.

Location Address1933 N MEACHAM RD STE 750Schaumburg, IL 60173-4368

Mailing Address1933 N Meacham Rd Ste 750Schaumburg, IL 60173-4368 · (708) 665-5170 · Fax (847) 906-1086

Phone(708) 665-5170

Fax(847) 906-1086

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateMay 7, 2015

Last NPPES UpdateFebruary 7, 2021

NPPES CertifiedFebruary 7, 2021

✔ NPI 1336527613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 071009077 (IL)

1933 N MEACHAM RD STE 750, Schaumburg, IL 60173

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew John Landstrom Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103106380

PECOS Enrollment IDI20161205001562

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

DR. AMANDA SKIERKIEWICZ ED.D., NCSP

Psychologist (School)