Dr Aqualus Mondrell Gordon, PHD - Psychologist in Lees Summit, MO

Dr Aqualus Mondrell Gordon, PHD is a Psychologist based in Lees Summit, Missouri. Dr Aqualus Mondrell Gordon is licensed to practice in Missouri (license number 2020017925) and his current practice location is 1320 Ne Windsor Dr, Lees Summit, Missouri. He can be reached at his office (for appointments etc.) via phone at (816) 287-8959.

NPI number for Dr Aqualus Mondrell Gordon is 1235729575 and his current mailing address is 702 Ne Westwind Dr, Lees Summit, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235729575.

Contact Information

Dr Aqualus Mondrell Gordon, PHD
1320 Ne Windsor Dr,
Lees Summit, MO 64086-8477
(816) 287-8959
Not Available



Healthcare Provider's Profile

Full NameDr Aqualus Mondrell Gordon
GenderMale
SpecialityPsychologist
Location1320 Ne Windsor Dr, Lees Summit, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235729575
  • Provider Enumeration Date: 01/20/2021
  • Last Update Date: 01/20/2021

Medical Identifiers

Medical identifiers for Dr Aqualus Mondrell Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235729575NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling 2020017925 (Missouri)Secondary
103T00000XPsychologist 2020017925 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Aqualus Mondrell Gordon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Aqualus Mondrell Gordon, PHD
702 Ne Westwind Dr,
Lees Summit, MO 64086-5620

Ph: (512) 923-5328
Dr Aqualus Mondrell Gordon, PHD
1320 Ne Windsor Dr,
Lees Summit, MO 64086-8477

Ph: (816) 287-8959

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Psychologist in Lees Summit, MO

Dr. Susan Farber Barngrover, PHD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 409 Se Douglas St, Lees Summit, MO 64063
Phone: 816-524-5818    Fax: 816-524-5819
Dr. Scott J Symes, PSY.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 3367 Ne Ralph Powell Rd, Lees Summit, MO 64064
Phone: 816-246-0111    Fax: 866-335-7993
Clara Elliott, ED.S.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1272 Ne Windsor Dr, Lees Summit, MO 64086
Phone: 816-246-4465    
Dr. Supavan K Brown, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 300 Se 2nd St, Suite 100, Lees Summit, MO 64063
Phone: 816-404-6189    Fax: 816-525-2251
Dr. Craig A Erisman, PSY.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 2900 Sw 13th St, Lees Summit, MO 64081
Phone: 816-516-7114    
Lawrence Lanyegha Ndango,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2305 Se 5th Ter, Lees Summit, MO 64063
Phone: 816-419-1294    
Dr. Susan Lauderdale Waldo, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 3904 Sw Windsong Dr, Lees Summit, MO 64082
Phone: 660-596-2400    

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