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

NPI Status: Active since August 03, 2016

Contact Information

117 S LEXINGTON ST STE 100
HARRISONVILLE, MO
ZIP 64701
Phone: (414) 839-4579
Fax: (855) 202-6591

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  • Individual
  • Female
  • Psychologist
  • Clinical
  • Accepts Insurance

About DEBRA MAMMADOVA

This page provides the complete NPI Profile along with additional information for Debra Mammadova, a provider established in Harrisonville, Missouri with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1073066320 assigned on August 2016. The practitioner's primary taxonomy code is 103TC0700X with license number 02979 (KS). The provider is registered as an individual and her NPI record was last updated February 2026.

NPI
1073066320
Provider Name
DR. DEBRA R MAMMADOVA LP
Other Name
DR. DEBRA R LEWIS
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
117 S LEXINGTON ST STE 100 HARRISONVILLE, MO 64701
Location Phone
(414) 839-4579
Location Fax
(855) 202-6591
Mailing Address
709 N 6TH ST STE 219 KANSAS CITY, KS 66101
Mailing Phone
(414) 839-4579
Mailing Fax
(855) 202-6591
Is Sole Proprietor?
Yes
Enumeration Date
08-03-2016
Last Update Date
02-17-2026
Code Navigator

A clinical psychologist like Debra Mammadova assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
02979
License State
KS
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

2018042701 (MO)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Catastrophic Pathway (+ Incentives) - EPO
  • Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Blue KC Catastrophic BlueSelect EPO - EPO
  • Blue KC Choice Bronze 2 with Spira Care BlueSelect EPO - EPO
  • Blue KC Choice Silver 1 with Spira Care BlueSelect EPO - EPO
  • Blue KC Community Silver Preferred-Care Blue EPO - EPO
  • Blue KC First Bronze Preferred-Care Blue EPO - EPO
  • Blue KC Standard Bronze BlueSelect EPO - EPO
  • Blue KC Standard Bronze Preferred-Care Blue EPO - EPO
  • Blue KC Standard Gold BlueSelect EPO - EPO
  • Blue KC Standard Gold Preferred-Care Blue EPO - EPO
  • Blue KC Standard Silver BlueSelect EPO - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Simple Diabetes - EPO
  • Gold Classic Standard - EPO
  • Gold Simple - EPO
  • Silver Classic Standard - EPO
  • Silver Elite Saver Plus - EPO
  • Silver Simple Diabetes - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Essential (No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
20113801BMEDICAID (05)KS 
490057295MEDICAID (05)MO 

Reviews for DR. DEBRA R MAMMADOVA LP

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073066320, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 0 + 6 + 1 + 2 + 3 + 4 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1073066320.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Non-emergency Medical Transport (VAN)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Non-emergency Medical Transport (VAN)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Counselor
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Behavior Analyst
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Behavior Analyst
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Social Worker (Clinical)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Non-emergency Medical Transport (VAN)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Counselor (Professional)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Counselor (Professional)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Behavior Analyst
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Family Medicine
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
In Home Supportive Care
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Speech-Language Pathologist
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Psychologist (Clinical)
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
Technician (Attendant Care Provider)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Licensed Practical Nurse
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Technician, Pathology (Phlebotomy)
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701
Behavior Analyst
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073066320, enumerated as an "individual" on August 03, 2016.

The provider is located at 117 S LEXINGTON ST STE 100 HARRISONVILLE, MO 64701 and the phone number is (414) 839-4579.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.