Morris Alonzo Blount Jr., M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036098685 Issued in IL

Practice address

19400 N Creek Dr
Lynwood, IL 60411

Phone

(708) 985-3040

NPI assigned

Sep 15, 2006

Last updated

May 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Medical College of Ohio, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Grand Prairie ServicesGroup PAC ID 7517876691, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• IL PPO Downstate
• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• IL HMO C-SNP
• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Interoperability endpoints

• Direct secure messaging: morris.blount.1@29472.direct.athenahealth.com

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.

• Grand Prairie Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tinley Park, IL
  • NPI 1346304979
  Medicare reassignment Care Compare group NPD
• Metropolitan Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Merrionette Park, IL
  • NPI 1629283411
  Medicare reassignment NPD
• Grand Prairie Services

  • Federally Qualified Health Center (FQHC)
  • Chicago Heights, IL
  • NPI 1447723564
  NPD
• Metropolitan Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1841460391
  NPD
• Metropolitan Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1992767032
  NPD
• Mirjam Quinn and Associates, LTD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1730577685
  NPD (past)
• Ruth M Rattenbury Psy D PC

  • Clinical Psychologist
  • Evanston, IL
  • NPI 1790868586
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1003912601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W MELROSE ST APT 1A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573808",
            "telephone_number": "773-248-1950",
            "fax_number": "773-248-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19400 N CREEK DR",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "60411",
            "telephone_number": "708-985-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUNT",
        "first_name": "MORRIS",
        "middle_name": "ALONZO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036098685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098685",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Am Taylon LLC (A&M Expedited Freight)
• Marvetta Bachus, REGISTERED NURSE
• Between US LLC
• BJS Early Childhood Services, Inc
• Bloom MH Therapy, LLC
• Niesha Brandon
• Michelle Brei
• Tayah Brent, LPC
• Taura Bronson
• Kristen Brown

• Psychiatry Physician in Lynwood, IL
• Providers in Lynwood, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.