Individual provider Active NPI

Jason P Morris, PSYD

  • Clinical Psychologist
  • Warrenville, IL
National Provider Identifier
1447529789
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.009583 Issued in IL
Practice address
4320 Winfield Rd Ste 200
Warrenville, IL 60555-4023
Phone
(815) 889-0303
Fax
(224) 351-1121
NPI assigned
Dec 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.009583 IL Primary

Addresses

Primary practice location

4320 Winfield Rd Ste 200
Warrenville, IL 60555-4023

Mailing address

4320 Winfield Rd Ste 200
Warrenville, IL 60555-4023
Phone (224) 760-9754

Other practice location 1

518 1st St
Glasgow, MO 65254-1006
Phone (815) 889-0303

Other practice location 2

1251 N Eddy St Ste 200
South Bend, IN 46617-1478
Phone (815) 889-0303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171107002024 IN Practitioner - Clinical Psychologist 0244596211 Reassigns benefits to 1 organization
I20181115001941 IL Practitioner - Clinical Psychologist 0244596211 Reassigns benefits to 2 organizations
I20201103000951 MO Practitioner - Clinical Psychologist 0244596211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

South Bend, IN 46617
Phone (224) 760-9754

4320 Winfield Rd
Suite 200
Warrenville, IL 60555-4023
Phone (331) 702-1259

608 1St St
Suite B
Glasgow, MO 65254-1008
Phone (224) 760-9754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.009583ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Healthcare LLC CurrentSince Apr 16, 2025 Accepting new patients

Locations

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

2201 Main St
Evanston, IL 60202
Phone (847) 905-3000

3705 Deerfield Rd
Riverwoods, IL 60015
Phone (847) 459-1200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1447529789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 WINFIELD RD STE 200",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605554023",
            "telephone_number": "224-760-9754",
            "fax_number": "224-351-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WINFIELD RD STE 200",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605554023",
            "telephone_number": "815-889-0303",
            "fax_number": "224-351-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "518 1st St",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "MO",
            "postal_code": "652541006",
            "country_code": "US",
            "telephone_number": "815-889-0303",
            "fax_number": "224-351-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1251 N Eddy St Ste 200",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466171478",
            "country_code": "US",
            "telephone_number": "815-889-0303",
            "fax_number": "224-351-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JASON",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-15",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

Verify at the official NPI Registry.