Neurodiversity Clinic LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

NEURODIVERSITY CLINIC LLC

Doing business as

The Neurodiversity Clinic

Practice address

4963 NE Goodview Cir Ste C
Lees Summit, MO 64064-2491

Phone

(816) 516-4039

NPI assigned

Dec 4, 2023

Last updated

Jul 23, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anthony Morrison, PH.D.NPI 1245299056

Title

Director

Phone

(816) 379-4050

Specialties & licenses 1

Addresses

Other names 1

• The Neurodiversity Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Carl Morrison, PH.D.

  • Clinical Psychologist
  • Salt Lake City, UT
  • NPI 1245299056

  Clinical Neuropsychologist, MO

  Medicare reassignment Care Compare group NPD Authorized official
• Patricia (Tricia) Hager, PHD

  • Clinical Psychologist
  • Lee's Summit, MO
  • NPI 1932979499
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1053187716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4963 NE GOODVIEW CIR STE C",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642491",
            "telephone_number": "816-516-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4963 NE GOODVIEW CIR STE C",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642491",
            "telephone_number": "816-516-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODIVERSITY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "816-379-4050",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Neurodiversity Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Neurodiversity Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Nelson, RD, LD
• Lisa Nelson, DNP
• Victoria Nelson, MSW,LMSW
• Laura Jean Nennig I, O.D.
• Kristin Laine Nersesyan, FNP-C
• New Hope Counseling LLC (Judy Gardner Counseling)
• New Life Chiropractic LLC
• Brandi Newcomer
• Kayel Newland, PA-C
• Zachary Tyler Newman

• Clinical Neuropsychologist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Clinical Neuropsychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.