Individual provider Active NPI

Clayton D Morris, M.D.

  • Psychiatry Physician
  • Moore, OK
National Provider Identifier
1104906700
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
24001 Issued in OK
Practice address
604 S Classen Ave Ste C
Moore, OK 73160-5403
Phone
(405) 799-0900
Fax
(405) 799-0902
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 24001 OK Primary

Addresses

Primary practice location

604 S Classen Ave Ste C
Moore, OK 73160-5403

Mailing address

PO Box 7501
Moore, OK 73153-1501
Phone (405) 799-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080731000285 OK Practitioner - Psychiatry 6507930161 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Oklahoma College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of OklahomaGroup PAC ID 4486558962, 99 clinicians

Practice addresses (Care Compare)

2323 S Harvard Ave
TCBH
Tulsa, OK 74114-3301
Phone (918) 293-2140

3524 National Dr
Norman, OK 73069-8222
Phone (405) 360-8930

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Oklahoma Current Accepting new patients
State of Oklahoma CurrentSince Jul 1, 2016 Accepting new patients
Oklahoma Mental Health Council CurrentSince Jan 3, 2011 Accepting new patients
Oklahoma Mental Health Council Current Accepting new patients
State of Oklahoma Past Accepting new patients
State of Oklahoma Past Accepting new patients

Locations

909 Alameda St
Norman, OK 73071
Phone (405) 573-3812

4400 N Lincoln Blvd
Oklahoma City, OK 73105

2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1104906700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7501",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731531501",
            "telephone_number": "405-799-0900",
            "fax_number": "405-799-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S CLASSEN AVE STE C",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605403",
            "telephone_number": "405-799-0900",
            "fax_number": "405-799-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "CLAYTON",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "24001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.