Active NPI
Stacey Morgan, PSYD
- Clinical Psychologist
- Grand Rapids, MI
National Provider Identifier
1275937583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 528
- Practice address
- 4403 Cascade Rd SE Ste 8
Grand Rapids, MI 49546-3673 - Phone
- (616) 915-8153
- NPI assigned
- Oct 15, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 528 | SD | Primary |
Addresses
Primary practice location
4403 Cascade Rd SE Ste 8
Grand Rapids, MI 49546-3673
Mailing address
1186 Oakburn Ave SE
Grand Rapids, MI 49546-3767
Phone (616) 915-8153
Other practice location 1
904 W 23rd St Ste 101
Yankton, SD 57078-1206
Phone (605) 665-0841
Other practice location 2
1000 Parchment Dr SE
Grand Rapids, MI 49546-3663
Phone (616) 957-9112
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Psychological Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Grand Rapids, MI
- NPI 1336712561
-
- Mental Health Counselor
- Yankton, SD
- NPI 1568708683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1275937583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1186 OAKBURN AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463767",
"telephone_number": "616-915-8153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 CASCADE RD SE STE 8",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463673",
"telephone_number": "616-915-8153"
}
],
"practiceLocations": [
{
"address_1": "904 W 23rd St Ste 101",
"address_purpose": "LOCATION",
"city": "Yankton",
"state": "SD",
"postal_code": "570781206",
"country_code": "US",
"telephone_number": "605-665-0841",
"fax_number": "605-665-0096",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Parchment Dr SE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495463663",
"country_code": "US",
"telephone_number": "616-957-9112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORGAN",
"first_name": "STACEY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-15",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SD",
"license": "528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.