NEURODIVERSITY CLINIC LLC
NPI 1053187716
Clinical Neuropsychologist in Lees Summit, MO
About Neurodiversity Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEURODIVERSITY CLINIC LLC (NPI 1053187716), doing business as The Neurodiversity Clinic, is a healthcare organization registered as a clinical neuropsychologist in Lees Summit, Missouri and active in the NPI registry since December 2023. The organization lists Anthony Morrison, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Neurodiversity Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Neurodiversity Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Neurodiversity Clinic LLC's NPI number?
The NPI number for Neurodiversity Clinic LLC is 1053187716. It was assigned to this organization in the NPPES registry on December 4, 2023. The provider is doing business as The Neurodiversity Clinic.
Where is Neurodiversity Clinic LLC located?
Neurodiversity Clinic LLC is located at 4963 NE Goodview Cir Ste C, Lees Summit, MO 64064. The listed phone number is (816) 516-4039.
What is Neurodiversity Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Neurodiversity Clinic LLC enrolled in Medicare?
Yes. Neurodiversity Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Neurodiversity Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Neurodiversity Clinic LLC, in Clinical Psychologist and Psychologist Billing Independently. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Neurodiversity Clinic LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Neurodiversity Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Neurodiversity Clinic LLC was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Neurodiversity Clinic Llc · NPI 1053187716
Clinical Neuropsychologist organization in Lees Summit, Missouri. Organization record, active in the CMS NPPES registry since December 4, 2023.
## Identity
- **NPI:** 1053187716 (Entity type: Organization)
- **Enumerated:** December 4, 2023
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **Also known as:** The Neurodiversity Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Anthony Morrison, DIRECTOR
## Practice location
- **Address:** 4963 NE GOODVIEW CIR STE C, Lees Summit, MO 64064-2491
- **Phone:** (816) 516-4039
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (1), Psychologist Billing Independently (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1053187716) · Data from the CMS NPPES public registry.