WALDO PSYCHOLOGICAL SERVICES LLC
NPI 1013139203
Psychologist in Lees Summit, MO

Active since May 03, 2007
3904 SW WINDSONG DR, LEES SUMMIT, MO 64082(660) 596-2400 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 27, 2021, Sep 11, 2020, Jul 24, 2019 (3 updates tracked since 2019).

About Waldo Psychological Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALDO PSYCHOLOGICAL SERVICES LLC (NPI 1013139203) is a healthcare organization registered as a psychologist in Lees Summit, Missouri and active in the NPI registry since May 2007. The organization lists Susan Waldo, President, as its authorized official.

NPPES Registry Identity

NPI1013139203
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameWALDO PSYCHOLOGICAL SERVICES LLC
Location Address3904 SW WINDSONG DRLees Summit, MO 64082-4051
Mailing AddressPo Box 1547Sedalia, MO 65302-1547 · (660) 826-5960
Organization SubpartNo
Authorized OfficialSusan WaldoPresident · (660) 596-2400
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 27, 20213 updates tracked since enumeration
NPPES CertifiedAugust 27, 2021
✔ NPI 1013139203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3904 SW WINDSONG DR, Lees Summit, MO 64082

Other Identifiers 1

Other26423017MO · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Waldo Psychological Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Waldo Psychological Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1174697338
3904 SW WINDSONG DR
Lees Summit, MO 64082
(660) 596-2400
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waldo Psychological Services LLC's NPI number?

The NPI number for Waldo Psychological Services LLC is 1013139203. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Waldo Psychological Services LLC located?

Waldo Psychological Services LLC is located at 3904 SW Windsong Dr, Lees Summit, MO 64082. The listed phone number is (660) 596-2400.

What is Waldo Psychological Services LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Waldo Psychological Services LLC enrolled in Medicare?

Yes. Waldo Psychological Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Waldo Psychological Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Waldo Psychological Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Waldo Psychological Services LLC was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.