Active NPI
Gloria Morote, PH.D.
- Clinical Neuropsychologist
- Alexandria, VA
National Provider Identifier
1568618510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 03930
- Practice address
- 424 South Washington St
Alexandria, VA 22314 - Phone
- (703) 683-2695
- Fax
- (703) 683-5454
- NPI assigned
- Aug 11, 2008
- 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 Neuropsychologist | 103G00000X | 03930 | VA | Primary |
Addresses
Primary practice location
424 South Washington St
Alexandria, VA 22314
Mailing address
424 South Washington St
Alexandria, VA 22314
Phone (703) 683-2695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03930 | VA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218412800000",
"number": "1568618510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 SOUTH WASHINGTON ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "22314",
"telephone_number": "703-683-2695",
"fax_number": "703-683-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 SOUTH WASHINGTON ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "22314",
"telephone_number": "703-683-2695",
"fax_number": "703-683-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOROTE",
"first_name": "GLORIA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-11",
"last_updated": "2008-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "VA",
"license": "03930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.