Active NPI
Morgan McCormick, PSY.D.
- Clinical Psychologist
- Ithaca, NY
National Provider Identifier
1477979482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 020181
- Practice address
- 402 N Cayuga St
2ND Floor
Ithaca, NY 14850-4291 - Phone
- (607) 319-6221
- NPI assigned
- Mar 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 020181 | NY | Primary |
Addresses
Primary practice location
402 N Cayuga St
2ND Floor
Ithaca, NY 14850-4291
Mailing address
402 N. Cayuga St. 2ND Floor
Ithaca, NY 14850
Phone (607) 319-6221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 6, 2024 through Feb 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1477979482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 N. CAYUGA ST. 2ND FLOOR",
"city": "ITHACA",
"state": "NY",
"postal_code": "14850",
"telephone_number": "607-319-6221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 N CAYUGA ST",
"address_2": "2ND FLOOR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148504291",
"telephone_number": "607-319-6221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "MORGAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-14",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "020181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.