Organization Active NPI

McNeley-Phelps Psychological Services, P.a.

  • Clinical Psychologist
  • Lenexa, KS
National Provider Identifier
1265675979
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0992 Issued in KS
Legal business name
MCNELEY-PHELPS PSYCHOLOGICAL SERVICES, P.A.
Practice address
12351 W 96TH Ter
Suite 111
Lenexa, KS 66215-4410
Phone
(913) 787-0400
Fax
(913) 273-1167
NPI assigned
Apr 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Joi McNeley-PhelpsNPI 1487690988
Title
Owner
Phone
(913) 787-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0992 KS Primary

Addresses

Primary practice location

12351 W 96TH Ter
Suite 111
Lenexa, KS 66215-4410

Mailing address

12351 W 96TH Ter
Suite 111
Lenexa, KS 66215-4409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090702000156 KS Part B Supplier - Clinic/Group Practice 2567513518 Receives reassigned benefits from 1 practitioner
Practice locations: Lenexa, KS

National Provider Directory

National Provider Directory

Locations

12351 W 96th Ter
Ste 111
Lenexa, KS 66215
Phone (913) 787-0400

8015 Santa Fe Dr
#A
Overland Park, KS 66204
Phone (913) 787-0400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1265675979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12351 W 96TH TER",
            "address_2": "SUITE 111",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12351 W 96TH TER",
            "address_2": "SUITE 111",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154410",
            "telephone_number": "913-787-0400",
            "fax_number": "913-273-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCNELEY-PHELPS PSYCHOLOGICAL SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "MCNELEY-PHELPS",
        "authorized_official_first_name": "JOI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-787-0400"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "0992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.