Individual provider Active NPI

Jennifer Rene Morrison, PHD, LSSP

  • Clinical Neuropsychologist
  • Dallas, TX
National Provider Identifier
1245498591
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
33794 Issued in TX
Practice address
13500 Midway Rd Ste 314
Dallas, TX 75244-5136
Phone
(214) 360-9044
Fax
(214) 360-9044
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 32820 TX
Clinical Neuropsychologist 103G00000X 33794 TX Primary

Addresses

Primary practice location

13500 Midway Rd Ste 314
Dallas, TX 75244-5136

Mailing address

13500 Midway Rd Ste 314
Dallas, TX 75244-5136
Phone (214) 360-9044

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
33794TXMDClinical Neuropsychologist
32820TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Brain, LLC CurrentSince Sep 10, 2023 Accepting new patients

Locations

13500 Midway Rd
Ste 314
Dallas, TX 75244
Phone (214) 360-9044

7859 Walnut Hill Ln
Ste 200
Dallas, TX 75230
Phone (214) 369-7661

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1245498591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 MIDWAY RD STE 314",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445136",
            "telephone_number": "214-360-9044",
            "fax_number": "214-360-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 MIDWAY RD STE 314",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445136",
            "telephone_number": "214-360-9044",
            "fax_number": "214-360-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "JENNIFER",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "PHD, LSSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "32820",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "33794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.