Individual provider Active NPI

Michael Todd Morris, PSY.D.

  • Clinical Psychologist
  • Frisco, TX
National Provider Identifier
1669589636
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33856 Issued in TX
Practice address
5850 Town and Country Blvd
Ste 1001
Frisco, TX 75034-0304
Phone
(469) 789-1237
Fax
(469) 214-4192
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 33856 TX Primary

Addresses

Primary practice location

5850 Town and Country Blvd
Ste 1001
Frisco, TX 75034-0304

Mailing address

5850 Town and Country Blvd
Ste 1001
Frisco, TX 75034-6942
Phone (469) 789-1237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120622000410 TX Practitioner - Clinical Psychologist 9931364072 Practice locations: Frisco, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5850 Town and Country Blvd
Suite 1001
Frisco, TX 75034-0304
Phone (469) 789-1237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1669589636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 TOWN AND COUNTRY BLVD",
            "address_2": "STE 1001",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346942",
            "telephone_number": "469-789-1237",
            "fax_number": "469-214-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 TOWN AND COUNTRY BLVD",
            "address_2": "STE 1001",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340304",
            "telephone_number": "469-789-1237",
            "fax_number": "469-214-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.