Active NPI
KSM Behavioral Services, LLC
Doing business as N/a
- Psychologist
- Stamford, CT
National Provider Identifier
1538643960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- KSM BEHAVIORAL SERVICES, LLC
- Doing business as
- N/a
- Practice address
- 1867 Summer St FL 3
Stamford, CT 06905-5016 - Phone
- (203) 989-4725
- NPI assigned
- Sep 21, 2018
- Last updated
- Sep 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kerri S Morris, PH.D.
- Title
- Sole Member
- Phone
- (203) 895-6979
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
1867 Summer St FL 3
Stamford, CT 06905-5016
Mailing address
1867 Summer St FL 3
Stamford, CT 06905-5016
Phone (203) 989-4725
Other names 1
- N/A
National Provider Directory
National Provider DirectoryLocations
1867 Summer St
Fl 3
Stamford, CT 06905
Phone (203) 989-4725
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537488000000",
"number": "1538643960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1867 SUMMER ST FL 3",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055016",
"telephone_number": "203-989-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1867 SUMMER ST FL 3",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055016",
"telephone_number": "203-989-4725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KSM BEHAVIORAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-21",
"last_updated": "2018-09-21",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "KERRI",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "203-895-6979",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "N/A",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.