NPIMap

Individual provider Active NPI

Anthony Carl Morrison, PH.D.

  • Clinical Psychologist
  • Salt Lake City, UT
National Provider Identifier
1245299056
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
973493072501 Issued in UT
Practice address
2237 S 600 E
Salt Lake City, UT 84106-1429
Phone
(801) 483-2447
Fax
(801) 486-8705
NPI assigned
Mar 21, 2006
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 973493072501 UT
Psychologist 103T00000X 973493072501 UT
Clinical Psychologist 103TC0700X 973493072501 UT Primary
Family Psychologist 103TF0000X 973493072501 UT
Health Service Psychologist 103TH0100X 973493072501 UT
Rehabilitation Psychologist 103TR0400X 973493072501 UT

Addresses

Primary practice location

2237 S 600 E
Salt Lake City, UT 84106-1429

Mailing address

709 NE Lacosta Street
Lees Summit, MO 64064-2499
Phone (816) 516-4039

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150310000990 MO Practitioner - Clinical Psychologist 4284538612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurodiversity Clinic LLCGroup PAC ID 7416482088, 2 clinicians

Practice addresses (Care Compare)

4963 NE Goodview Cir
Suite C
Lees Summit, MO 64064-2491
Phone (816) 379-4050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
973493072501UTMDRehabilitation Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurodiversity Clinic LLC Clinical Neuropsychologist CurrentSince Sep 1, 2023 Accepting new patients
Advanced Behavioral Care, Inc. Past Accepting new patients
Center for Human Potential PastSince Dec 15, 2019 Accepting new patients
Professional Consulting LLC Clinical Neuropsychologist PastSince Aug 25, 2009 Accepting new patients
Intermountain Mental Health, Inc. Psychologist Past Accepting new patients

Locations

4963 NE Goodview Cir
Ste C
Lees Summit, MO 64064
Phone (816) 379-4050

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1245299056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 NE LACOSTA STREET",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642499",
            "telephone_number": "816-516-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 S 600 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061429",
            "telephone_number": "801-483-2447",
            "fax_number": "801-486-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "ANTHONY",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2021-03-04",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "UT",
            "license": "973493072501",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "973493072501",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "973493072501",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "UT",
            "license": "973493072501",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "UT",
            "license": "973493072501",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "UT",
            "license": "973493072501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.