Seraphim Mork, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Practice address

1040 SW 4TH St
Moore, OK 73160-2405

Phone

(405) 735-8478

NPI assigned

Jul 3, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moore Autism Center, P.C.

  • Clinical Child & Adolescent Psychologist
  • Moore, OK
  • NPI 1518319276
  NPD (past)

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1538575113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SW 4TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602405",
            "telephone_number": "405-735-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 SW 4TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602405",
            "telephone_number": "405-735-8478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Crapo St",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "MI",
            "postal_code": "488582941",
            "country_code": "US",
            "telephone_number": "989-772-5938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORK",
        "first_name": "SERAPHIM",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moorehealth Ride LLC
• Kelli More, DPT
• Amber K. Morgan, M.ED
• Amy Morgan
• Matthew Logan Morgan
• Clayton D Morris, M.D.
• Scott E Morris, DPM
• Sharra Jan Morris, LPC
• Shawn Jean Morris, NP
• Jacqueline Denise Moss

• Clinical Child & Adolescent Psychologist in Moore, OK
• Providers in Moore, OK by specialty
• Clinical Child & Adolescent Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.