Individual provider Active NPI

Morales Dennis Brown, MD

  • Psychiatry Physician
  • Utica, NY
National Provider Identifier
1679775266
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
255046-1 Issued in NY
Practice address
2504 Genesee Street
Office First Floor
Utica, NY 13502
Phone
(315) 507-2577
Fax
(315) 507-2643
NPI assigned
Jun 5, 2007
Last updated
Apr 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X P42375 NY
Psychiatry Physician 2084P0800X 255046-1 NY Primary

Addresses

Primary practice location

2504 Genesee Street
Office First Floor
Utica, NY 13502

Mailing address

2504 Genesee Street
Office First Floor
Utica, NY 13502
Phone (315) 507-2577

Other identifiers 2

IdentifierTypeStateIssuer
P42375MedicaidNY
03193166MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120803000726 NY Practitioner - Psychiatry 3577719731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upstate Cerebral Palsy IncGroup PAC ID 5496734758, 30 clinicians

Practice addresses (Care Compare)

1427 Genesee St
Utica, NY 13501-4343
Phone (315) 738-1428

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
255046-1NYMDPsychiatry Physician
P42375NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Cerebral Palsy, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Upstate Cerebral Palsy, Inc CurrentSince Dec 1, 2018 Accepting new patients
Precious Minds Child/Adult Psychiatry Services PLLC Psychiatry Past Accepting new patients

Locations

1002 Oswego St
Utica, NY 13502
Phone (315) 798-8868

125 Business Park Dr
Utica, NY 13502
Phone (315) 724-6907

1427 Genesee St
Utica, NY 13501
Phone (315) 738-1428

1601 Armory Dr
Utica, NY 13501
Phone (315) 798-4006

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1679775266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 GENESEE STREET",
            "address_2": "OFFICE FIRST FLOOR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13502",
            "telephone_number": "315-507-2577",
            "fax_number": "315-507-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 GENESEE STREET",
            "address_2": "OFFICE FIRST FLOOR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13502",
            "telephone_number": "315-507-2577",
            "fax_number": "315-507-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MORALES",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "P42375",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "255046-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P42375",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03193166",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.