Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katy Tara Landis, MA, EDS, LEP4191

Individual provider Cognitive & Behavioral Psychologist · NPI 1750160669

Katy Tara Landis, MA, EDS, LEP4191 is a Cognitive & Behavioral Psychologist in San Diego, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

8880 Rio San Diego Dr Fl 8
San Diego, CA 92108-1642
Phone: (619) 500-6282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 4191 (CA)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 4191 (CA)
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X · Licence 4191 (CA)

Record details

NPI number1750160669
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , EDS , LEP4191
Sole proprietorNo
NPI enumeratedSeptember 28, 2023
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 7, 2023

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