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NEURODIVERSITY CLINIC LLC
NPI 1053187716
Clinical Neuropsychologist in Lees Summit, MO

Active since December 04, 2023
4963 NE GOODVIEW CIR STE C, LEES SUMMIT, MO 64064(816) 516-4039 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1053187716
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameNEURODIVERSITY CLINIC LLC
Location Address4963 NE GOODVIEW CIR STE CLees Summit, MO 64064-2491
Mailing Address4963 Ne Goodview Cir Ste CLees Summit, MO 64064-2491 · (816) 516-4039
Phone(816) 516-4039
Organization SubpartNo
Authorized OfficialAnthony MorrisonDirector · (816) 379-4050
Enumeration DateDecember 4, 2023
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1053187716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
4963 NE GOODVIEW CIR STE C, Lees Summit, MO 64064
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Other Names 1

Doing Business AsThe Neurodiversity Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATRICIA (TRICIA) HAGER PHD
Psychologist (Clinical)
4963 NE GOODVIEW CIR STE C
LEES SUMMIT, MO 64064
Jackson County (816) 209-7716
HANNAH ZAFUTA PSYD
Psychologist (Clinical)
4963 NE GOODVIEW CIR STE C
LEES SUMMIT, MO 64064
Jackson County (816) 370-7929

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.

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 12 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.