Leigh Pava Wendtland, PHD LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301012338 Issued in MI

Practice address

2401 Camelot CT SE Ste E
Grand Rapids, MI 49546-6083

Phone

(616) 648-2289

Fax

(616) 949-3018

NPI assigned

Jan 13, 2006

Last updated

Apr 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Leigh Wendtland O'Connor Former name

Medicare fee-for-service enrollment

Enrolled in MI

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Claystone Clinical Associates PLCGroup PAC ID 1658387014, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Claystone Clinical Associates PLC

  • Psychiatry Physician
  • Grand Rapids, MI
  • NPI 1619927142

  Clinical

  Medicare reassignment Care Compare group NPD
• Claystone Clinical Associates PLC

  • Psychiatry Physician
  • Grand Rapids, MI
  • NPI 1336668698
  NPD

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1780663138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 CAMELOT CT SE STE E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466083",
            "telephone_number": "616-648-2289",
            "fax_number": "616-949-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 CAMELOT CT SE STE E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466083",
            "telephone_number": "616-648-2289",
            "fax_number": "616-949-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDTLAND",
        "first_name": "LEIGH",
        "middle_name": "PAVA",
        "name_prefix": "Dr.",
        "credential": "PHD LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGH",
            "last_name": "O'CONNOR",
            "middle_name": "WENDTLAND",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Juli S Wemmer, D.D.S.
• Megan Wen
• Sarah Ann Wendling, OTR/L
• Shannon Taylor Wendling, LMSW
• Julie Wendtland, PT
• Lisa Wenger
• Peter Bradley Wenn, MD
• Stephanie Wente, NP
• Danielle Wentworth, AUD
• Bruce M. Weny, DDS

• Clinical Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.