Neurodiversity Clinic Llc in Lees Summit, MO - Medicare Clinical Neuropsychologist

Neurodiversity Clinic Llc is a medicare enrolled mental health clinic (Clinical Neuropsychologist) in Lees Summit, Missouri. The current practice location for Neurodiversity Clinic Llc is 4963 Ne Goodview Cir Ste C, Lees Summit, Missouri. For appointments, you can reach them via phone at (816) 516-4039. The mailing address for Neurodiversity Clinic Llc is 4963 Ne Goodview Cir Ste C, Lees Summit, Missouri and phone number is (816) 516-4039.

Neurodiversity Clinic Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1053187716. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (816) 516-4039.

Contact Information

	Neurodiversity Clinic Llc
	4963 Ne Goodview Cir Ste C Lees Summit MO 64064-2491
	(816) 516-4039
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name	Neurodiversity Clinic Llc
Speciality	Clinical Neuropsychologist
Location	4963 Ne Goodview Cir Ste C, Lees Summit, Missouri
Authorized Official Name and Position	Anthony Morrison (DIRECTOR)
Authorized Official Contact	8165164039
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Neurodiversity Clinic Llc 4963 Ne Goodview Cir Ste C Lees Summit MO 64064-2491 Ph: (816) 516-4039	Neurodiversity Clinic Llc 4963 Ne Goodview Cir Ste C Lees Summit MO 64064-2491 Ph: (816) 516-4039

NPI Details:

NPI Number	1053187716
Provider Enumeration Date	12/04/2023
Last Update Date	12/04/2023
Certification Date	12/03/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	7416482088
Medicare Enrollment ID	O20241120001417

Medical Identifiers

Medical identifiers for Neurodiversity Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053187716	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103G00000X	Clinical Neuropsychologist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Neurodiversity Clinic Llc acts as a billing entity for following providers:

Provider Name	Anthony C Morrison
Provider Type	Practitioner - Clinical Psychologist
Provider Identifiers	NPI Number: 1245299056 PECOS PAC ID: 4284538612 Enrollment ID: I20150310000990

Reviews and Comments

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Neurodiversity Clinic Llc - Medicare Mental Health Clinic in Lees Summit, MO