Wesley Max Ledom, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

000290 Issued in MO

Practice address

7524 Eaton St
Prairie Village, KS 66208-3610

Phone

(913) 634-5199

NPI assigned

Mar 15, 2007

Last updated

Sep 23, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BPH LLC

  dba Behavioral Health Partners

  • Professional Counselor
  • Kansas City, MO
  • NPI 1770989303
  NPD (past)
• John T Bopp PC

  dba Beheavioral Health Partners

  • Clinical Psychologist
  • Kansas City, MO
  • NPI 1447292180
  NPD (past)
• Truman Lake Manor, Inc.

  • Skilled Nursing Facility
  • Lowry City, MO
  • NPI 1114959954
  NPD (past)
• Wound Care Plus, LLC

  • Specialist
  • Saint Louis, MO
  • NPI 1841657053
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1346374824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7524 EATON ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083610",
            "telephone_number": "913-634-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7524 EATON ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083610",
            "telephone_number": "913-634-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDOM",
        "first_name": "WESLEY",
        "middle_name": "MAX",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "000290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493240121",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A. Larsen, PH.D.
• Justin Lasater, MA, LMLP
• Stephen J Lauer, PHD, MD
• Kimberly Sue Laughlin, PTA
• Corey Leach, DPT
• Elijah Lee, PHD
• Laura Lefkowitz Bratt, M.A.
• Jaclyn E.a. Legg, D.O.
• Joanna Marie Leonard
• Amanda Leoni, LCSW, LSCSW

• Clinical Psychologist in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.