Morris R, Pengilly PA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

I-0001393 Issued in OH

Legal business name

MORRIS R, PENGILLY PA

Practice address

3865 Rocky River Dr
Suite 2
Cleveland, OH 44111-4114

Phone

(216) 941-0230

Fax

(216) 941-3566

NPI assigned

Aug 15, 2007

Organization subpart

No

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

Authorized official

Name

Morris R Pengilly, LISW

Title

President

Phone

(216) 941-0230

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1417149295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 ROCKY RIVER DR",
            "address_2": "SUITE 2",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441114114",
            "telephone_number": "216-941-0230",
            "fax_number": "216-941-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 ROCKY RIVER DR",
            "address_2": "SUITE 2",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441114114",
            "telephone_number": "216-941-0230",
            "fax_number": "216-941-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS R, PENGILLY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "PENGILLY",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-941-0230",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "I-0001393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Morra, CNP, APRN
• Julia Morreale, PA-C
• John Anthony Morren, M.D.
• Howard E Morrette, PH.D., L.P.C.C.
• Elle Morrical, DO
• Jill Stacy Morris-Boardman, LISW-S
• Gabrielle Morris-Gonzalez
• Marti Morris-Pack
• Gareth John Morris-Stiff, MB BCH MD MCH PHD FR
• Nicole Morris-Tollafield, LPCC

• Community/Behavioral Health Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.