Mental Morphosis Incorporated

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801068544 Issued in MI

Legal business name

MENTAL MORPHOSIS INCORPORATED

Practice address

31201 Chicago Rd S
Suite a 102
Warren, MI 48093-5527

Phone

(586) 977-8701

NPI assigned

Apr 6, 2011

Last updated

Apr 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Patrick John Sciberras, LMSW

Title

Pres.

Phone

(586) 977-8700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1609165075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31201 CHICAGO RD S",
            "address_2": "SUITE A 102",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935527",
            "telephone_number": "586-977-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31201 CHICAGO RD S",
            "address_2": "SUITE A 102",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935527",
            "telephone_number": "586-977-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL MORPHOSIS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "SCIBERRAS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "586-977-8700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801068544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mendelson Orthopedics PC (Mendelson Kornblum Therapy)
• David H Mendelson, MD
• Jeffrey D. Mendelson, MD
• April Mendyka, LPC
• Silvia Tiffany Menkes, DO
• Ann Marie Mentz, MSN,APRN,BC
• Gayle Mentzer, RPH
• Frederick Gerald Meoli, DO
• Salim Meram, MD
• Stephen J Meraw, DDS, MS

• Community/Behavioral Health Agency in Warren, MI
• Providers in Warren, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.