Individual provider Active NPI

Kevin Dean Morse, M.D.

  • Psychiatry Physician
  • San Jose, CA
National Provider Identifier
1255478947
Registry record updated Jul 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G46678 Issued in CA
Practice address
1570 The Alameda Ste 228
San Jose, CA 95126-2305
Phone
(408) 293-3888
Fax
(408) 293-1029
NPI assigned
Jan 31, 2007
Last updated
Jul 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G46678 CA Primary

Addresses

Primary practice location

1570 The Alameda Ste 228
San Jose, CA 95126-2305

Mailing address

1570 The Alameda
Ste 228
San Jose, CA 95126-2305
Phone (408) 293-3888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100106000012 CA Practitioner - Psychiatry 7618018185 Reassigns benefits to 1 organization
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Missouri, Columbia School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

18880 Cherry Valley Blvd
Tuolumne, CA 95379-9506
Phone (209) 928-5400

Merit-based Incentive Payment System (MIPS)

Final score
47.39 of 100Reported as group
Quality
13.78
Promoting interoperability
0
Improvement activities
40
Cost
81.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G46678CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuolumne Me-Wuk Indian Health Center, Inc. CurrentSince Oct 30, 2024 Accepting new patients
Tuolumne Mewuk Indian Health Center, Inc Psychiatry CurrentSince Oct 30, 2024 Accepting new patients
San Mateo Spine Center a Medical Corporation Past Accepting new patients

Locations

19969 Greenley Rd
Ste A
Sonora, CA 95370
Phone (209) 928-5400

18880 Cherry Valley Blvd
Tuolumne, CA 95379
Phone (209) 928-5400

Interoperability endpoints

  • Direct secure messaging: kevin.morse.p1@direct.tmwihc.nextgenshare.com

Organizations & group practices 3

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689465600000",
    "number": "1255478947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 THE ALAMEDA",
            "address_2": "STE 228",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262305",
            "telephone_number": "408-293-3888",
            "fax_number": "408-293-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 THE ALAMEDA STE 228",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262305",
            "telephone_number": "408-293-3888",
            "fax_number": "408-293-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSE",
        "first_name": "KEVIN",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-07-16",
        "certification_date": "2023-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G46678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.