Active NPI
Matthew Jiji Morrison, PHD
- Clinical Psychologist
- Brooklyn, NY
National Provider Identifier
1275795981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 68 019239
- Practice address
- 37 E 4TH St
Brooklyn, NY 11218-1023 - Phone
- (718) 369-2957
- NPI assigned
- Jun 25, 2008
- Last updated
- Sep 6, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 68 019239 | NY | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 68 019239 | NY |
Addresses
Primary practice location
37 E 4TH St
Brooklyn, NY 11218-1023
Mailing address
37 E 4TH St
Brooklyn, NY 11218-1023
Phone (718) 369-2957
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
| License | State | Type | Specialty |
|---|---|---|---|
| 68 019239 | NY | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1275795981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 E 4TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112181023",
"telephone_number": "718-369-2957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 E 4TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112181023",
"telephone_number": "718-369-2957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "MATTHEW",
"middle_name": "JIJI",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-25",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "68 019239",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "68 019239",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.