Individual provider Active NPI

Sally Morcos, PSYD

  • Psychologist
  • Highland Park, NJ
National Provider Identifier
1306105846
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5012 Issued in NJ
Practice address
24 N 3Rd Ave
Suite 203E
Highland Park, NJ 08904-2429
Phone
(732) 735-1561
NPI assigned
May 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 019387 NY
Psychologist 103T00000X 5012 NJ Primary

Addresses

Primary practice location

24 N 3Rd Ave
Suite 203E
Highland Park, NJ 08904-2429

Mailing address

24 N 3Rd Ave
Suite 203E
Highland Park, NJ 08904-2429
Phone (732) 672-6564

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

State licenses

LicenseStateTypeSpecialty
5012NJMDPsychologist
019387NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Evermore Wellness, LLC Past Accepting new patients

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": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1306105846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N 3RD AVE",
            "address_2": "SUITE 203E",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042429",
            "telephone_number": "732-672-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N 3RD AVE",
            "address_2": "SUITE 203E",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042429",
            "telephone_number": "732-735-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORCOS",
        "first_name": "SALLY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019387",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "5012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.