Individual provider Active NPI

Neal Randall Morris, ED.D., MSCP

  • Clinical Psychologist
  • East Sandwich, MA
National Provider Identifier
1508988825
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9363 Issued in MA
Practice address
160 N Shore Blvd
East Sandwich, MA 02537
Phone
(301) 758-7154
Fax
(301) 530-3737
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 1822 MD
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 9363 MA Primary

Addresses

Primary practice location

160 N Shore Blvd
East Sandwich, MA 02537

Mailing address

443 Route 6a
#334
East Sandwich, MA 02537
Phone (301) 758-7154

Other identifiers 1

IdentifierTypeStateIssuer
487649100OtherMDFEDERAL-DEPT. OF LABOR,US

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20120228000543 DC Practitioner - Clinical Psychologist 1759372352 Practice locations: Bethesda, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4300 Montgomery Ave
Suite 201
Bethesda, MD 20814-4442
Phone (301) 907-3471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9363MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Psychological Care PLLC Clinical Past Accepting new patients

Organizations & group practices 1

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1508988825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 ROUTE 6A",
            "address_2": "#334",
            "city": "EAST SANDWICH",
            "state": "MA",
            "postal_code": "02537",
            "telephone_number": "301-758-7154",
            "fax_number": "304-530-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N SHORE BLVD",
            "city": "EAST SANDWICH",
            "state": "MA",
            "postal_code": "02537",
            "telephone_number": "301-758-7154",
            "fax_number": "301-530-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "NEAL",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "ED.D., MSCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "1822",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL-DEPT. OF LABOR,US",
            "identifier": "487649100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Sandwich, MA

Sources for this page

Verify at the official NPI Registry.