Active NPI
Nicholas Randall Morris, M.D.
- Psychiatry Physician
- Alexandria, VA
National Provider Identifier
1013283217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101260226
- Practice address
- 2050 Ballenger Ave
Maia Institute
Alexandria, VA 22314-6892 - Phone
- (301) 500-0645
- NPI assigned
- Apr 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101260226 | VA | Primary |
Addresses
Primary practice location
2050 Ballenger Ave
Maia Institute
Alexandria, VA 22314-6892
Mailing address
2050 Ballenger Ave
Maia Institute
Alexandria, VA 22314-6892
Phone (301) 500-0645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- nicholas.morris.1@17496.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1013283217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 BALLENGER AVE",
"address_2": "MAIA INSTITUTE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223146892",
"telephone_number": "301-500-0645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 BALLENGER AVE",
"address_2": "MAIA INSTITUTE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223146892",
"telephone_number": "301-500-0645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "NICHOLAS",
"middle_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-02",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101260226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.