Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174697338 Individual Practitioner Female Practitioner

Dr. Susan Lauderdale Waldo , PhD

Psychologist • Lees Summit, MO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Susan Waldo, PhD is a certified Psychologist practicing in Lees Summit, MO. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Waldo delivers high-quality medical care to the local community at 3904 SW WINDSONG DR.

Dr. Waldo accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3904 Sw Windsong Dr

Lees Summit, MO 640824051

Telephone 6605962400
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Lees Summit, MO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
31 Yrs Matches City Avg
City Avg: 31.0 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
12 Specialists

Practicing in Lees Summit, MO (635 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
29.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waldo (31 Years) 31 Yrs
Lees Summit Specialty Average (31.0 Years) 31.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
163 14 $200.00 $147.76
90834 Psychotherapy, 45 minutes
72 12 $150.00 $99.47

Medical Specialties & State Licenses

CMS Verified: 2021-08-27
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MO PY01834

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
498699511 (MO)
Commercial Insurance / Payer ID Blue Cross Blue Shield Id
25323025 (MO)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location August 27, 2021

Registered at 3904 SW WINDSONG DR, LEES SUMMIT, MO 640824051 (Tel: 6605962400)

📍
Updated Practice Location September 11, 2020

Registered at 3948 W CONDOR DR, BATTLEFIELD, MO 656199816 (Tel: 6605962400)

📍
Updated Business Mailing Address October 15, 2019

Registered at PO BOX 1547, SEDALIA, MO 653021547 (Tel: 6608265960)

📍
Updated Practice Location July 24, 2019

Registered at 1909 E BENNETT ST STE 106, SPRINGFIELD, MO 658041400 (Tel: 6605962400)

📍
Updated Business Mailing Address July 24, 2019

Registered at 1909 E BENNETT ST STE 106, SPRINGFIELD, MO 658041400 (Tel: 6605962400)

NPI Profile Active July 30, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2014

Registered at 1909 E BENNETT ST STE 103, SPRINGFIELD, MO 658041400 (Tel: 6605962400)

📍
Updated Business Mailing Address July 30, 2014

Registered at 1909 E BENNETT ST STE 103, SPRINGFIELD, MO 658041400 (Tel: 6605962400)

👤
Provider Name / Credentials Updated July 30, 2014

Recorded as SUSAN WALDO, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2014

Psychologist (License #PY01834 in MO)

🟢
Initial NPI Registration & Enumeration November 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174697338
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2006
Last Update: August 27, 2021
Sole Proprietor: Yes

Mailing Address

Po Box 1547

Sedalia, MO 653021547

Phone: 6608265960

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.