Organization Active NPI

Larissa Morlock, PHD

  • Community/Behavioral Health Agency
  • Needham, MA
National Provider Identifier
1457884173
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
9768 Issued in MA
Legal business name
LARISSA MORLOCK, PHD
Practice address
992 Great Plain Ave Ste 25
Needham, MA 02492-2524
Phone
(517) 281-0068
NPI assigned
Apr 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Larissa Morlock
Title
Owner
Phone
(517) 281-0068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 9768 MA Primary

Addresses

Primary practice location

992 Great Plain Ave Ste 25
Needham, MA 02492-2524

Mailing address

992 Great Plain Ave Ste 25
Needham, MA 02492-2524
Phone (517) 281-0068

National Provider Directory

National Provider Directory

Locations

992 Great Plain Ave
Ste 25
Needham, MA 02492
Phone (203) 918-0000

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1457884173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 GREAT PLAIN AVE STE 25",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922524",
            "telephone_number": "517-281-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 GREAT PLAIN AVE STE 25",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922524",
            "telephone_number": "517-281-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARISSA MORLOCK, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "MORLOCK",
        "authorized_official_first_name": "LARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-281-0068"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "9768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.