Susan Lauderdale Waldo, PH.D.
NPI 1174697338ActiveIndividual· Psychologist· Lees Summit, MO
Psychologist (PH.D.) in Lees Summit, Missouri, licensed in MO, with an NPI issued in November 2006. Medicare paid $24,598 for services to 15 patients in 2024.
Overview
| NPI | 1174697338 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Nov 20, 2006 |
| Last updated in NPPES | Aug 27, 2021 |
| Certified by provider | Aug 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PY01834 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 242 across 4 procedure codes |
| Paid by Medicare | $24,598 |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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