DR. MARISSA MAUREEN DAWSON PSYD
NPI 1497506612
Psychologist - Clinical Child & Adolescent in Kansas City, MO

Active since March 27, 2024PECOS EnrolledAccepts Medicare Assignment
2401 GILLHAM RD, KANSAS CITY, MO 64108(816) 234-3000(816) 302-9939 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Marissa Maureen Dawson Psyd NPPES

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

DR. MARISSA MAUREEN DAWSON PSYD (NPI 1497506612) is an individual clinical child & adolescent provider in Kansas City, Missouri, licensed in Missouri (2025040578) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1497506612
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. MARISSA MAUREEN DAWSONCredential: PSYD
Location Address2401 GILLHAM RDKansas City, MO 64108-4619
Mailing Address2401 Gillham Rd, Provider Enrollment Dept.Kansas City, MO 64108-4619 · (816) 701-2000 · Fax (816) 302-9939
Fax(816) 302-9939
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 27, 2024
Last NPPES UpdateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
NPI 1497506612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Licenses Licensed in MO · 2025040578 Licensed in KS · LP03486
Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

2401 GILLHAM RD, Kansas City, MO 64108

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Marissa Maureen Dawson Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941706675
PECOS Enrollment IDI20251001004424, I20251009003813
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Pediatrics (Pediatric Gastroenterology)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Nurse Practitioner (Pediatrics)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Orthopaedic Surgery
2401 GILLHAM RD
KANSAS CITY, MO 64108
Pediatrics (Pediatric Cardiology)
2401 GILLHAM RD, DEPARTMENT OF PEDIATRICS
KANSAS CITY, MO 64108
Pediatrics (Pediatric Infectious Diseases)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Pediatrics (Neonatal-Perinatal Medicine)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Genetic Counselor, MS
2401 GILLHAM RD
KANSAS CITY, MO 64108
Genetic Counselor, MS
2401 GILLHAM RD, CHILDREN'S MERCY HOSPITALS AND CLINICS
KANSAS CITY, MO 64108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497506612, enumerated as an "individual" on March 27, 2024.

The provider is located at 2401 GILLHAM RD KANSAS CITY, MO 64108 and the phone number is (816) 234-3000.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.

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