Individual provider Active NPI

Robert Vincent Morse II, PSY.D.

  • Clinical Psychologist
  • Fort Ann, NY
National Provider Identifier
1043677651
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
031215 Issued in NJ
Practice address
128 Fish Hill LN
Fort Ann, NY 12827-5524
Phone
(347) 836-4419
NPI assigned
Jan 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Psychologist 103T00000X 031215 NJ
Clinical Psychologist 103TC0700X 031215 NJ Primary

Addresses

Primary practice location

128 Fish Hill LN
Fort Ann, NY 12827-5524

Mailing address

PO Box 122
Fort Ann, NY 12827-0122
Phone (347) 836-4419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250922001784 NJ Practitioner - Clinical Psychologist 3971916214 Practice locations: Jersey City, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Marin Blvd
Jersey City, NJ 07302-4412
Phone (224) 633-2278

1100 State Route 35
Suite a
Ocean, NJ 07712

114 Fish Hill LN
Fort Ann, NY 12827-5524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
031215NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1043677651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "FORT ANN",
            "state": "NY",
            "postal_code": "128270122",
            "telephone_number": "347-836-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 FISH HILL LN",
            "city": "FORT ANN",
            "state": "NY",
            "postal_code": "128275524",
            "telephone_number": "347-836-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSE",
        "first_name": "ROBERT",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-27",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "031215",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "031215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Ann, NY

Sources for this page

Verify at the official NPI Registry.