Neurodiversity Clinic LLC
NPI 1053187716 · Clinical Neuropsychologist · Lees Summit, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Neurodiversity Clinic LLC is a Clinical Neuropsychologist organization in Lees Summit, MO (NPI 1053187716).
Provider details
- NPI number
- 1053187716
- Entity type
- Organization
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Anthony Morrison, Director(816) 379-4050
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- The Neurodiversity Clinic
- Doing business as
- The Neurodiversity Clinic
Registry dates
- Enumerated
- 2023-12-04
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Frequently asked questions
- What is Neurodiversity Clinic LLC's NPI number?
- Neurodiversity Clinic LLC's National Provider Identifier (NPI) is 1053187716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Neurodiversity Clinic LLC?
- Neurodiversity Clinic LLC is classified in the NPPES registry as Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Neurodiversity Clinic LLC located?
- Neurodiversity Clinic LLC's practice location on file with NPPES is 4963 Ne Goodview Cir Ste C, Lees Summit, MO 64064-2491.
- What is Neurodiversity Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Neurodiversity Clinic LLC is (816) 516-4039.
- Does Neurodiversity Clinic LLC accept Medicare?
- Neurodiversity Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Neurodiversity Clinic LLC?
- The authorized official listed on Neurodiversity Clinic LLC's NPPES record is Anthony Morrison, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Neurodiversity Clinic LLC's NPI active?
- Yes — Neurodiversity Clinic LLC's NPI (1053187716) is active in the NPPES registry as of the last update on 2025-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.