George E Ledakis, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS015202 Issued in PA

Practice address

1088 W Baltimore Pike
Suite 2205
Media, PA 19063-5146

Phone

(610) 744-2962

Fax

(610) 744-2420

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in PA

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brandywine Neuropsychology Associates IncGroup PAC ID 8325283773, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• Brandywine Neuropsychology Associates, Inc.

  • Clinical Neuropsychologist
  • Chadds Ford, PA
  • NPI 1265772693
  Medicare reassignment Care Compare group Authorized official
• David a Thomas, LTD

  • Neurology Physician
  • Glen Mills, PA
  • NPI 1518908946
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841377892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE",
            "address_2": "SUITE 2205",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "610-744-2962",
            "fax_number": "610-744-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE",
            "address_2": "SUITE 2205",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "610-744-2962",
            "fax_number": "610-744-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDAKIS",
        "first_name": "GEORGE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS015202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse John Lawton
• Margaret C Lazar, LCSW
• Jodi M Lazarick, OTR/L, MS
• Jerry M Lazaroff, PH.D.
• Leading Edge Physical Therapy & Sports Medicine, Inc.
• Michael Lee Jr., PT
• Cindy Barbara Lefkowitz, OTR/L
• Kathryn Lehnowsky, PA-C
• Shalyn Leigh, LPC
• Inna Markus Leiter, PSY.D.

• Clinical Neuropsychologist in Media, PA
• Providers in Media, PA by specialty
• Clinical Neuropsychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.