Active NPI
Maxwell Psychological Services, L.L.C.
- Clinical Psychologist
- Overland Park, KS
National Provider Identifier
1417524687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Reed Maxwell, PHD, ABPP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Abilene, KS
- NPI 1316720808
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.