MR. LEONARD MICHAEL LITTLE (NPI# 1063495992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063495992 |
Entity Type | Individual |
Full Name | MR. LEONARD MICHAEL LITTLE |
Other Name | MICHAEL LITTLE |
Credential | PHD |
Practice Address |
5401 College Blvd Suite 205 Leawood KS 66211-1617 |
Practice Telephone | 9133396838 |
Practice Fax Number | 9137644160 |
Mailing Telephone | 9133396838 |
Mailing Fax Number | 9137644160 |
Enumeration Date | 2005-11-23 |
Last Update Date | 2020-10-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
00953 | MO | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
0542 | KS | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | MEDICARE | KA2040124 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316984347 | Leonard Little Jr. | Internal Medicine | 820 Saint Sebastian Way, Suite 2d, Augusta, GA 30901-2643 | 2006-05-31 |
Street Address |
5401 COLLEGE BLVD SUITE 205 |
City | LEAWOOD |
State | KS |
Zip Code | 66211-1617 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215939608 | Mark David Strehlow | Family Medicine | 5401 College Blvd, Suite 203, Leawood, KS 66211-1617 | 2005-08-15 |
1861948770 | Brenda Tally | Marriage & Family Therapist | 5401 College Blvd, Suite 212, Leawood, KS 66211-1923 | 2016-08-30 |
1922553783 | Rebecca Anne Burgess | Marriage & Family Therapist | 5401 College Blvd, Suite 212, Leawood, KS 66211-1923 | 2016-08-22 |
1427313337 | Brian Josephs International LLC | Prosthetic/Orthotic Supplier | 5401 College Blvd, Suite 204, Leawood, KS 66211-1923 | 2012-07-06 |
1316218134 | The Center for Children & Family Support Inc | Social Worker | 5401 College Blvd, Suite 111, Leawood, KS 66211-1923 | 2012-01-25 |
1285917765 | Stockridge Physicians Services LLC | Urology | 5401 College Blvd, Ste 203, Leawood, KS 66211-1923 | 2011-09-21 |
1700167137 | Homewatch Caregivers | In Home Supportive Care | 5401 College Blvd, 210, Leawood, KS 66211-1923 | 2011-08-30 |
1700184058 | Leawood Pediatrics, LLC | Pediatrics | 5401 College Blvd, Suite 102, Leawood, KS 66211-1923 | 2011-03-10 |
1407162308 | Vanessa Wray Knight | Counselor | 5401 College Blvd, Building 1, Suite 102, Leawood, KS 66211-1923 | 2010-08-30 |
1053576074 | Sarah A Rastogi | Pediatrics | 5401 College Blvd, Ste 100, Leawood, KS 66211-1923 | 2008-07-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
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Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902159031 | Shelly Lynne Peterson | Psychologist | 11100 Ash St Ste 100, Leawood, KS 66211-1700 | 2012-10-26 |
1114096385 | Psychiatric & Counseling Assoc., LLC | Psychologist | 11251 Nall Ave, Ste 100, Leawood, KS 66211 | 2006-11-06 |
1295836427 | Rodney E Mcneal | Psychologist | 8014 State Line Rd, Ste 100, Leawood, KS 66208-3723 | 2006-09-26 |
1639117575 | Tracy E Ochester | Psychologist | 11100 Ash St Ste 202, Leawood, KS 66211-1943 | 2006-06-03 |
1508262999 | Deborah L. Carle, Ph.d., LLC | Psychologist | 11111 Nall Ave, Site 224, Leawood, KS 66211-1924 | 2014-11-12 |
1174953442 | Kc Psychological Solutions, LLC | Psychologist | 4500 College Blvd, Leawood, KS 66211-1916 | 2013-11-22 |
1912166042 | Arthur Lynn Durbin | Psychologist | 4745 W 136th St, Suite 26, Leawood, KS 66224-5923 | 2008-06-04 |
1528176427 | Michael K. Harty | Psychologist | 8000 Lee Blvd, Leawood, KS 66206-1217 | 2006-08-29 |
1043254543 | Deborah Lynn Carle | Psychologist | 11111 Nall Ave, Suite 224, Leawood, KS 66211-1924 | 2006-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538785852 | Freudhawk Psychological Enterprises, LLC | Psychologist | 1307 E Iron Ave, Salina, KS 67401-3231 | 2020-06-23 |
1750914321 | Brian Patrick Russell | Psychologist | 730 New Hampshire St Ste 3m, Lawrence, KS 66044-3174 | 2020-02-21 |
1700429982 | Carolyn Sue Pepper | Psychologist | 2614 S 25th St, Leavenworth, KS 66048-4338 | 2019-10-21 |
1992355143 | Peabody,inc. | Psychologist | 7381 W 133rd St Ste 203, Overland Park, KS 66213-4777 | 2019-09-18 |
1174097042 | Heidi Marie Pontinen | Psychologist | 1901 E First St., Newton, KS 67114-0467 | 2019-01-14 |
1295232015 | Connection Therapy, LLC | Psychologist | 309 Happy Hollow St, Vermillion, KS 66544-8633 | 2018-04-09 |
1902304116 | Psychological Health Services, LLC | Psychologist | 626 Nebraska Ave, Holton, KS 66436-1462 | 2018-01-23 |
1588182885 | Glen M. Harnden | Psychologist | 16970 Grandview St, Overland Park, KS 66085-9376 | 2017-09-07 |
1063938850 | Lindsey Marie Backer-fulghum | Psychologist | Wichita State University, Counseling & Testing Center, 1845 Fairmount St., Wichita, KS 67260-0091 | 2017-08-14 |
1861913659 | Janelle Jeffrey | Psychologist | 1013 W 8th St Ste A, Junction City, KS 66441-2281 | 2017-06-30 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.