Individual provider Active NPI

Kerri Morris, PHD, BCBA-D

  • Psychologist
  • Westport, CT
National Provider Identifier
1407279516
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
#003364 Issued in CT
Practice address
37 Franklin St Ste 5
Westport, CT 06880-5938
Phone
(203) 895-6979
NPI assigned
Jan 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X #000489-1 NY
Psychologist 103T00000X #003364 CT Primary

Addresses

Primary practice location

37 Franklin St Ste 5
Westport, CT 06880-5938

Mailing address

PO Box 1071
Weston, CT 06883-0071
Phone (203) 895-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 29, 2025 through Oct 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
#000489-1NYMDBehavioral Analyst
#003364CTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
KSM Behavioral Services, LLC Behavior Analyst Current Accepting new patients

Locations

1867 Summer St
Fl 3
Stamford, CT 06905
Phone (203) 989-4725

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": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1407279516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1071",
            "city": "WESTON",
            "state": "CT",
            "postal_code": "068830071",
            "telephone_number": "203-895-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 FRANKLIN ST STE 5",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805938",
            "telephone_number": "203-895-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "KERRI",
        "name_prefix": "Dr.",
        "credential": "PHD, BCBA-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-24",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "#000489-1",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "#003364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.