Individual provider Active NPI

Nadin R. Rizk, PSYD

  • Clinical Psychologist
  • Lee's Summit, MO
National Provider Identifier
1619300191
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2017038051 Issued in MO
Practice address
218 NW Oldham Pkwy
Lees Summit, MO 64081-1520
Phone
(816) 237-0670
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2017038051 MO Primary

Addresses

Primary practice location

218 NW Oldham Pkwy
Lees Summit, MO 64081-1520

Mailing address

218 NW Oldham Pkwy
Lees Summit, MO 64081-1520
Phone (816) 237-0670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20171127000699 MO Practitioner - Clinical Psychologist 6507123718 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
Group practices
Healing Grace Ministries, IncGroup PAC ID 7719045798, 25 clinicians

Practice addresses (Care Compare)

1272 NE Windsor Dr
Healing Couns CTRS
Lees Summit, MO 64086-5594
Phone (816) 246-4465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017038051MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Grace Ministries, Inc Clinical CurrentSince Sep 1, 2023 Accepting new patients
Rizk Assessment & Psychological Services, LLC Clinical Past Accepting new patients

Locations

1272 NE Windsor Dr
Lees Summit, MO 64086
Phone (816) 246-4465

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1619300191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 NW OLDHAM PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811520",
            "telephone_number": "816-237-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 NW OLDHAM PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811520",
            "telephone_number": "816-237-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZK",
        "first_name": "NADIN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2017038051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.