Individual provider Active NPI

Leah Wildenger Welchons, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Utica, NY
National Provider Identifier
1477992626
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
019777 Issued in NY
Practice address
1601 Armory Dr
Building C
Utica, NY 13501-5405
Phone
(315) 797-6241
Fax
(315) 749-7054
NPI assigned
Jun 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 019777 NY Primary

Addresses

Primary practice location

1601 Armory Dr
Building C
Utica, NY 13501-5405

Mailing address

1601 Armory Dr
Building C
Utica, NY 13501-5405
Phone (315) 797-6241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1477992626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ARMORY DR",
            "address_2": "BUILDING C",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015405",
            "telephone_number": "315-797-6241",
            "fax_number": "315-749-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ARMORY DR",
            "address_2": "BUILDING C",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015405",
            "telephone_number": "315-797-6241",
            "fax_number": "315-749-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCHONS",
        "first_name": "LEAH",
        "middle_name": "WILDENGER",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "019777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.