Active NPI
Jeri Morris, PH.D., P.C.
- Psychologist
- Northbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 071003104
- Legal business name
- JERI MORRIS, PH.D., P.C.
- Practice address
- 60 Revere Dr
Suite 330
Northbrook, IL 60062-1563 - Phone
- (847) 432-9055
- Fax
- (847) 432-7787
- NPI assigned
- Dec 16, 2009
- Last updated
- Dec 16, 2009
- 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. Jeri Morris, CLINICAL PSYCHOLOGIS
- Title
- President
- Phone
- (312) 321-9443
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 071003104 | IL | Primary |
Addresses
Primary practice location
60 Revere Dr
Suite 330
Northbrook, IL 60062-1563
Mailing address
395 Beech St
Highland Park, IL 60035-4133
Phone (312) 321-9443
National Provider Directory
National Provider DirectoryLocations
60 Revere Dr
Ste 330
Northbrook, IL 60062
Phone (847) 432-9055
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Neuropsychologist
- Chicago, IL
- NPI 1487720736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260921600000",
"number": "1013246289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 BEECH ST",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600354133",
"telephone_number": "312-321-9443",
"fax_number": "847-432-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 REVERE DR",
"address_2": "SUITE 330",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621563",
"telephone_number": "847-432-9055",
"fax_number": "847-432-7787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERI MORRIS, PH.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-16",
"last_updated": "2009-12-16",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "JERI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-321-9443",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "CLINICAL PSYCHOLOGIS"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "IL",
"license": "071003104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.