Organization Active NPI

Maxwell Psychological Services, L.L.C.

  • Clinical Psychologist
  • Overland Park, KS
National Provider Identifier
1417524687
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MAXWELL PSYCHOLOGICAL SERVICES, L.L.C.
Practice address
5440 W 110TH St Ste 300
Overland Park, KS 66211-1221
Phone
(816) 839-5960
NPI assigned
Jun 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2021

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

Authorized official

Name
Dr. Reed Maxwell, PHD, ABPPNPI 1609313501
Title
Founder
Phone
(913) 387-7987

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5440 W 110TH St Ste 300
Overland Park, KS 66211-1221

Mailing address

5440 W 110TH St Ste 300
Overland Park, KS 66211-1221
Phone (816) 839-5960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220111000891 KS Part B Supplier - Clinic/Group Practice 5597155697 Receives reassigned benefits from 1 practitioner
Practice locations: Leawood, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631318400000",
    "number": "1417524687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 W 110TH ST STE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111221",
            "telephone_number": "816-839-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 W 110TH ST STE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111221",
            "telephone_number": "816-839-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL PSYCHOLOGICAL SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "REED",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "913-387-7987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, ABPP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; 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.