Brandon Landry, PsyD
Psychologist, Clinical in Sandy Springs, GA. Individual provider (NPI-1).
NPI number1003569989
StatusActive
Last updated in NPPESMay 26, 2026
Details
- NPI
- 1003569989
- Entity type
- Individual (NPI-1)
- Name
- Brandon Landry
- Credential
- PsyD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 31, 2022
- Certification date
- May 26, 2026
- Last updated
- May 26, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY004572 | GA | Yes |
| 103TC0700X | Psychologist, Clinical | PY61652280 | WA |
Practice location
5887 Glenridge Dr Ste 230Sandy Springs, GA 30328-9929
Phone 470-207-2410
Mailing address
1686 Dunton Green WayLawrenceville, GA 30043-7531
Phone 239-247-4699
Other practice locations
4030 Lake Washington Blvd Ne Ste 303
Kirkland, WA 98033-7870
Kirkland, WA 98033-7870
Phone 470-207-2410
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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