Organization Active NPI

Morrow-Bradley & Associates, PLLC

  • Psychologist
  • Jacksonville, NC
National Provider Identifier
1184169864
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MORROW-BRADLEY & ASSOCIATES, PLLC
Practice address
2444 Commerce Rd
Ste 125
Jacksonville, NC 28546-7560
Phone
(419) 290-0083
Fax
(910) 346-4418
NPI assigned
Jan 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Cheryl Morrow-Bradley, PH.D.NPI 1124061874
Title
Sole MBR
Phone
(419) 290-0083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2444 Commerce Rd
Ste 125
Jacksonville, NC 28546-7560

Mailing address

2444 Commerce Rd
Ste 125
Jacksonville, NC 28546-7560
Phone (419) 290-0083

Other names 1

  • Morrow-Bradley & Associates, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170328002117 NC Part B Supplier - Clinic/Group Practice 1557646890 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, NC

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1184169864",
    "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": "285467560",
            "telephone_number": "419-290-0083",
            "fax_number": "910-346-4418"
        },
        {
            "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": "285467560",
            "telephone_number": "419-290-0083",
            "fax_number": "910-346-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORROW-BRADLEY & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "MORROW-BRADLEY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "419-290-0083",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morrow-Bradley & Associates, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.