LANDINGS FAMILY & PSYCHOLOGICAL CENTER, INC. – Clinical Psychologist, NPI 1790952000

LANDINGS FAMILY & PSYCHOLOGICAL CENTER, INC. is a healthcare provider. based in Avon lake, Ohio. specializing in Clinical Psychologist. The organization holds a License No. I1717 (OH). The NPI Number for LANDINGS FAMILY & PSYCHOLOGICAL CENTER, INC. is 1790952000

Main info

Organization
Name
LANDINGS FAMILY & PSYCHOLOGICAL CENTER, INC.
NPI
1790952000
Phone
(440) 933-8770
Address
32730 WALKER RD
Authorized Official
DR. RONALD J MISTUR LICENSED PSYCHOLOGIST PH.D.
Enumeration Date
15 May 2008
Last Update Date
30 October 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:18State licenses:4Digital endpointsOther names

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Provider Addresses for LANDINGS FAMILY & PSYCHOLOGICAL CENTER, INC.

  • Thai Chili, 32730, Walker Road, Avon Lake, Lorain County, Ohio, 44012, United States

    SUITE I-5

    AVON LAKE, OH 440124100

    Phone: (440) 933-8770

    Fax: (440) 933-8991

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-08-31 (282 days ago).

Enrollment records

1

Earliest due date

2025-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100329001064OClinic/Group PracticeOH2025-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44012)

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Reviews

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Frequently asked questions

What is LANDINGS FAMILY & PSYCHOLOGICAL CENTER, INC.'s NPI number?
LANDINGS FAMILY & PSYCHOLOGICAL CENTER, INC.'s NPI is 1790952000 — the number used across U.S. healthcare to identify this provider.
Is LANDINGS FAMILY & PSYCHOLOGICAL CENTER, INC. shown as active in public data?
Registry records indicate LANDINGS FAMILY & PSYCHOLOGICAL CENTER, INC. maintains an active NPI.
What area of care is associated with LANDINGS FAMILY & PSYCHOLOGICAL CENTER, INC.?
LANDINGS FAMILY & PSYCHOLOGICAL CENTER, INC.'s record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is LANDINGS FAMILY & PSYCHOLOGICAL CENTER, INC. located near Avon Lake?
LANDINGS FAMILY & PSYCHOLOGICAL CENTER, INC. currently maps to Avon Lake, Ohio in this extract.
Can I trust this NPI listing for LANDINGS FAMILY & PSYCHOLOGICAL CENTER, INC.?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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