Kathleen Mary-Zelis Ledermann, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS018211 Issued in PA

Practice address

120 S Filbert St
Mechanicsburg, PA 17055-6593

Phone

(717) 458-5788

NPI assigned

Sep 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1356869739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 PARK AVE",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170701345",
            "telephone_number": "717-576-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S FILBERT ST",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556593",
            "telephone_number": "717-458-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDERMANN",
        "first_name": "KATHLEEN",
        "middle_name": "MARY-ZELIS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Leadbeater, IBCLC
• Lebanon Vamc
• Joshua D Lebo, PA-C
• Madeline Lebo
• Nissy Carolina Lebron
• Lea Morgan Lee, MA, BCBA, LBS
• Theresa Marguerite Lee, MD
• Mary Ann Leidinger, MSW LCSW
• Christina Leister
• Christy Lynn Lejkowski, PA-C

• Clinical Psychologist in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.