Individual provider Active NPI

Morgan E Williams, PH.D.

  • Psychologist
  • Neosho, MO
National Provider Identifier
1447387238
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2002030466 Issued in MO
Practice address
1110 W Harmony St Ste D
Neosho, MO 64850-1638
Phone
(417) 455-5875
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2002030466 MO Primary

Addresses

Primary practice location

1110 W Harmony St Ste D
Neosho, MO 64850-1638

Mailing address

PO Box 5609
Bella Vista, AR 72714-0609
Phone (417) 455-5875

Other practice location 1

1840 N Range Line Rd Ste 6
Joplin, MO 64801-8322
Phone (417) 624-7002

Other identifiers 1

IdentifierTypeStateIssuer
499780229MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041029000171 MO Practitioner - Clinical Psychologist 8820050123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1110 W Harmony St
Suite D
Neosho, MO 64850-1638
Phone (417) 455-5875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2002030466MOMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Associates of Southwest Missouri, LLC CurrentSince Dec 14, 2002 Accepting new patients
Allied Mental Health Consultants LLC Past Accepting new patients
Allied Mental Health Associates, Inc. Past Accepting new patients

Locations

1840 N Range Line Rd
Ste 6
Joplin, MO 64801
Phone (417) 624-7002

1110 W Harmony St
Ste D
Neosho, MO 64850
Phone (417) 455-5875

Organizations & group practices 3

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1447387238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5609",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727140609",
            "telephone_number": "417-455-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W HARMONY ST STE D",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501638",
            "telephone_number": "417-455-5875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 N Range Line Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648018322",
            "country_code": "US",
            "telephone_number": "417-624-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MORGAN",
        "middle_name": "E",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2002030466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499780229",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neosho, MO

Sources for this page

Verify at the official NPI Registry.