Individual provider Active NPI

Philip Christopher Morse, PHD

  • Clinical Psychologist
  • Staten Island, NY
National Provider Identifier
1013902063
Registry record updated Mar 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
005414 Issued in NY
Practice address
78 Hart Blvd
Staten Island, NY 10301-2613
Phone
(718) 273-3682
Fax
(908) 232-8148
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 005414 NY Primary
Clinical Psychologist 103TC0700X SI03538 NJ

Addresses

Primary practice location

78 Hart Blvd
Staten Island, NY 10301-2613

Mailing address

78 Hart Blvd
131 South Euclid Avenue, Westfield, NJ 07090
Staten Island, NY 10301-2613
Phone (718) 273-3682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100727000063 NY Practitioner - Clinical Psychologist 6709919822 Practice locations: Staten Island, NY
I20120620000409 NJ Practitioner - Clinical Psychologist 6709919822 Practice locations: Mountainside, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

615 Sherwood Pkwy
Mountainside, NJ 07092-2525
Phone (908) 548-3755

639 Fairmont Ave
Westfield, NJ 07090-1360

78 Hart Blvd
Staten Island, NY 10301-2613
Phone (718) 273-3682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SI03538NJMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332633600000",
    "number": "1013902063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 HART BLVD",
            "address_2": "131 SOUTH EUCLID AVENUE, WESTFIELD, NJ 07090",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012613",
            "telephone_number": "718-273-3682",
            "fax_number": "908-232-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 HART BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012613",
            "telephone_number": "718-273-3682",
            "fax_number": "908-232-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSE",
        "first_name": "PHILIP",
        "middle_name": "CHRISTOPHER",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2012-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "005414",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI03538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.