Individual provider Active NPI

Joi McNeley-Phelps, PH D

  • Psychologist
  • Lenexa, KS
National Provider Identifier
1487690988
Registry record updated Nov 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0992 Issued in KS
Practice address
12351 W 96TH Ter
Suite 111
Lenexa, KS 66215-4409
Phone
(913) 787-0400
Fax
(913) 273-1167
NPI assigned
Jun 22, 2006
Last updated
Nov 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0992 KS Primary
Psychologist 103T00000X 2003005720 MO

Addresses

Primary practice location

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

Mailing address

12351 W 96TH Ter
Suite 111
Lenexa, KS 66215-4409
Phone (913) 787-0400

Other identifiers 2

IdentifierTypeStateIssuer
100360570AMedicaidKS
20-8787353OtherKSTAX ID

Other names 1

  • Joi Phelps Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090702000145 KS Practitioner - Clinical Psychologist 9931250974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12351 W 96TH Ter
Suite 111
Lenexa, KS 66215-4410
Phone (913) 787-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0992KSMDPsychologist
2003005720MOMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
McNeley-Phelps Psychological Services, P.a. CurrentSince May 1, 2009 Accepting new patients
Clinical Associates PA PastSince Dec 1, 1992 Accepting new patients

Locations

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258761600000",
    "number": "1487690988",
    "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",
            "telephone_number": "913-787-0400",
            "fax_number": "913-273-1167"
        },
        {
            "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": "662154409",
            "telephone_number": "913-787-0400",
            "fax_number": "913-273-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNELEY-PHELPS",
        "first_name": "JOI",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "0992",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2003005720",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100360570A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "20-8787353",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOI",
            "last_name": "PHELPS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.