Active NPI
Michael McKim Morrison, M.A.
- Marriage & Family Therapist
- Tustin, CA
National Provider Identifier
1225132673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC34279
- Practice address
- 17772 Irvine Blvd
Suite 101
Tustin, CA 92780-3256 - Phone
- (714) 669-1783
- Fax
- (714) 669-1783
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC34279 | CA | Primary |
Addresses
Primary practice location
17772 Irvine Blvd
Suite 101
Tustin, CA 92780-3256
Mailing address
17772 Irvine Blvd
Suite 101
Tustin, CA 92780-3256
Phone (714) 669-1783
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC34279 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1225132673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17772 IRVINE BLVD",
"address_2": "SUITE 101",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803256",
"telephone_number": "714-669-1783",
"fax_number": "714-669-1783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17772 IRVINE BLVD",
"address_2": "SUITE 101",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803256",
"telephone_number": "714-669-1783",
"fax_number": "714-669-1783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "MICHAEL",
"middle_name": "MCKIM",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC34279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.