Active NPI
Eboni Nicole Morris, PSY. D.
- Psychologist
- Phoenix, AZ
National Provider Identifier
1689298838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5049
- Practice address
- 166001 N. 40TH St.
Suite 210
Phoenix, AZ 85032 - Phone
- (602) 867-1052
- NPI assigned
- Jun 3, 2020
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5049 | AZ | Primary |
Addresses
Primary practice location
166001 N. 40TH St.
Suite 210
Phoenix, AZ 85032
Mailing address
967 E Desert Holly Dr
San Tan Valley, AZ 85143-4965
Phone (248) 943-4049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5049 | AZ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1689298838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "967 E DESERT HOLLY DR",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851434965",
"telephone_number": "248-943-4049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166001 N. 40TH ST.",
"address_2": "SUITE 210",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85032",
"telephone_number": "602-867-1052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "EBONI",
"middle_name": "NICOLE",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-03",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "5049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.