Individual provider Active NPI

Cheryl Ann Morrow-Bradley, PH.D

  • Psychologist
  • Jacksonville, NC
National Provider Identifier
1124061874
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3658 Issued in OH
Practice address
2444 Commerce Rd
Ste 125
Jacksonville, NC 28546-7561
Phone
(910) 238-2166
Fax
(910) 333-0639
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301006244 MI
Psychologist 103T00000X 3658 OH Primary

Addresses

Primary practice location

2444 Commerce Rd
Ste 125
Jacksonville, NC 28546-7561

Mailing address

2444 Commerce Rd
Ste 125
Jacksonville, NC 28546-7561
Phone (910) 238-2166

Other identifiers 1

IdentifierTypeStateIssuer
0879821MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140924002127 NC Practitioner - Clinical Psychologist 4981685070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2444 Commerce Rd
Suite 125
Jacksonville, NC 28546-7561
Phone (419) 290-0083

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301006244MIMDPsychologist
4177NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Morrow-Bradley & Associates, PLLC Psychologist CurrentSince Feb 1, 2017 Accepting new patients

Locations

2444 Commerce Rd
Ste 125
Jacksonville, NC 28546
Phone (419) 290-0083

Organizations & group practices 1

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1124061874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 COMMERCE RD",
            "address_2": "STE 125",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467561",
            "telephone_number": "910-238-2166",
            "fax_number": "910-333-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 COMMERCE RD",
            "address_2": "STE 125",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467561",
            "telephone_number": "910-238-2166",
            "fax_number": "910-333-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORROW-BRADLEY",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301006244",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "3658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0879821",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.