Active NPI
Joel Glenwood Morris
- Behavior Technician
- Mount Clemens, MI
National Provider Identifier
1093559601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 191 North Ave
Mount Clemens, MI 48043-9703 - Phone
- (586) 209-3518
- NPI assigned
- Jun 20, 2024
- Sex
- Male
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
191 North Ave
Mount Clemens, MI 48043-9703
Mailing address
1420 Bradley Ave
Flint, MI 48503-3443
Phone (810) 336-4659
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": "1718841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1093559601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 BRADLEY AVE",
"city": "FLINT",
"state": "MI",
"postal_code": "485033443",
"telephone_number": "810-336-4659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 NORTH AVE",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480439703",
"telephone_number": "586-209-3518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "JOEL",
"middle_name": "GLENWOOD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-20",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Clemens, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.