Active NPI
Sara Morrissey
- Behavior Analyst
- Bloomington, IL
National Provider Identifier
1023583986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2405 General Electric Rd Ste 1
Bloomington, IL 61704-8596 - Phone
- (844) 263-1613
- NPI assigned
- Oct 8, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2405 General Electric Rd Ste 1
Bloomington, IL 61704-8596
Mailing address
1105 W Russell St
Sioux Falls, SD 57104-1322
Phone (605) 271-2690
Other practice location 1
620 N Lawler St
Mitchell, SD 57301-2639
Phone (605) 271-2690
Other practice location 2
405 S Washington St
Aberdeen, SD 57401-4348
Phone (605) 271-2690
Other practice location 3
100 Illinoise Ave
Saint Charles, IL 60174-1866
Phone (605) 271-2690
Other practice location 4
1704 Westland Rd
Cheyenne, WY 82001-3322
Phone (605) 906-8802
Other practice location 5
1105 W Russell St
Sioux Falls, SD 57104-1322
Phone (605) 271-2690
Other practice location 6
1101 W Russell St
Sioux Falls, SD 57104-1322
Phone (605) 271-2690
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1023583986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 W RUSSELL ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571041322",
"telephone_number": "605-271-2690",
"fax_number": "605-271-3956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 GENERAL ELECTRIC RD STE 1",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617048596",
"telephone_number": "844-263-1613"
}
],
"practiceLocations": [
{
"address_1": "620 N Lawler St",
"address_purpose": "LOCATION",
"city": "Mitchell",
"state": "SD",
"postal_code": "573012639",
"country_code": "US",
"telephone_number": "605-271-2690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 S Washington St",
"address_purpose": "LOCATION",
"city": "Aberdeen",
"state": "SD",
"postal_code": "574014348",
"country_code": "US",
"telephone_number": "605-271-2690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Illinoise Ave",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "IL",
"postal_code": "601741866",
"country_code": "US",
"telephone_number": "605-271-2690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1704 Westland Rd",
"address_purpose": "LOCATION",
"city": "Cheyenne",
"state": "WY",
"postal_code": "820013322",
"country_code": "US",
"telephone_number": "605-906-8802",
"fax_number": "605-271-2690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1105 W Russell St",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571041322",
"country_code": "US",
"telephone_number": "605-271-2690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 W Russell St",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571041322",
"country_code": "US",
"telephone_number": "605-271-2690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORRISSEY",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-08",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.