DR. DEBRA R MAMMADOVA LP
NPI 1073066320
Psychologist - Clinical in Harrisonville, MO

Active since August 03, 2016
117 S LEXINGTON ST STE 100, HARRISONVILLE, MO 64701(414) 839-4579(855) 202-6591 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2022, Dec 20, 2017 (2 updates tracked since 2017).

About Dr. Debra R Mammadova Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEBRA R MAMMADOVA LP (NPI 1073066320) is an individual clinical provider in Harrisonville, Missouri, licensed in Kansas (02979) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1073066320
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DEBRA R MAMMADOVACredential: LP
Location Address117 S LEXINGTON ST STE 100Harrisonville, MO 64701-2444
Mailing Address709 N 6th St Ste 219Kansas City, KS 66101-3031 · (414) 839-4579 · Fax (855) 202-6591
Fax(855) 202-6591
Sole ProprietorYes
Enumeration DateAugust 3, 2016
Last NPPES UpdateFebruary 17, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
NPI 1073066320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in KS · 02979 Licensed in MO · 2018042701
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
117 S LEXINGTON ST STE 100, Harrisonville, MO 64701

Other Names 1

Former Name (1)Dr. Debra R Lewis

Other Identifiers 2

Medicaid20113801BKS
Medicaid490057295MO

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Licensed Practical Nurse
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Clinic/Center (Mental Health (Including Community Mental Health Center))
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Social Worker (Clinical)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Counselor (Professional)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Nurse Practitioner (Psychiatric/Mental Health)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Social Worker (Clinical)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Social Worker (Clinical)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Family Medicine
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701

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 Debra Mammadova's NPI number?

The NPI number for Debra Mammadova is 1073066320. It was assigned to this individual provider in the NPPES registry on August 3, 2016. The provider is also known as Dr. Debra R Lewis.

Where is Debra Mammadova located?

Debra Mammadova practices at 117 S Lexington St Ste 100, Harrisonville, MO 64701. The listed phone number is (414) 839-4579.

What is Debra Mammadova's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Debra Mammadova accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company and UnitedHealthcare list Debra Mammadova 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 Debra Mammadova was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.