Jeri Morris, PH.D., P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071003104 Issued in IL

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPI NUMBER FOR JERI MORRIS",
            "identifier": "1487720736",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Psychologist in Illinois

• 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.

Verify at the official NPI Registry.