Individual provider Active NPI

Reed Maxwell, PHD, ABPP

  • Clinical Psychologist
  • Kansas City, MO
National Provider Identifier
1609313501
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2021031965 Issued in MO
Practice address
501 Grand Blvd Apt 207
Kansas City, MO 64106-1685
Phone
(913) 387-7987
NPI assigned
Jan 30, 2017
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2021031965 MO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

501 Grand Blvd Apt 207
Kansas City, MO 64106-1685

Mailing address

501 Grand Blvd Apt 207
Kansas City, MO 64106-1685
Phone (913) 387-7987

Other practice location 1

300 Crittenden Blvd
Rochester, NY 14642-8409
Phone (585) 275-3563

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
I20190924003823 KS Practitioner - Clinical Psychologist 1456681048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Great Plains of Smith Co IncGroup PAC ID 2860300530, shared by 4 NPIs, 14 clinicians

Practice addresses (Care Compare)

614 S Main
Smith Center, KS 66967

6731 W 121St St
Leawood, KS 66209-2003
Phone (816) 839-5960

PO Box
Suite 349
Smith Center, KS 66967

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2700KSMDProfessional Counselor
2021031965MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maxwell Psychological Services, L.L.C. Clinical CurrentSince Nov 26, 2021 Accepting new patients

Locations

5440 W 110th St
Ste 300
Overland Park, KS 66211
Phone (913) 279-0226

6731 W 121st St
Overland Park, KS 66209
Phone (816) 839-5960

Organizations & group practices 1

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": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1609313501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GRAND BLVD APT 207",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641061685",
            "telephone_number": "913-387-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GRAND BLVD APT 207",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641061685",
            "telephone_number": "913-387-7987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Crittenden Blvd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146428409",
            "country_code": "US",
            "telephone_number": "585-275-3563",
            "fax_number": "585-276-2292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "REED",
        "name_prefix": "Dr.",
        "credential": "PHD, ABPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-30",
        "last_updated": "2021-08-23",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2021031965",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.