Active NPI
Daniel G Morjal, PSY.D, MSCP
- Prescribing (Medical) Psychologist
- Chicago, IL
National Provider Identifier
1689897639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- 074-000010
- Practice address
- 4809 N Ravenswood Ave Unit 320
Chicago, IL 60640-4417 - Phone
- (773) 800-1513
- NPI assigned
- Apr 10, 2007
- Last updated
- Feb 19, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071-007153 | IL | |
| Prescribing (Medical) Psychologist | 103TP0016X | 374-000010 | IL | |
| Prescribing (Medical) Psychologist | 103TP0016X | 074-000010 | IL | Primary |
Addresses
Primary practice location
4809 N Ravenswood Ave Unit 320
Chicago, IL 60640-4417
Mailing address
250 W Dundee Rd Unit 1002
Wheeling, IL 60090-1235
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-007153 | IL | MD | Clinical Psychologist |
| 074-000010 | IL | MD | Prescribing (Medical) Psychologist |
| 374-000010 | IL | MD | Prescribing (Medical) Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1689897639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W DUNDEE RD UNIT 1002",
"city": "WHEELING",
"state": "IL",
"postal_code": "600901235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4809 N RAVENSWOOD AVE UNIT 320",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606404417",
"telephone_number": "773-800-1513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORJAL",
"first_name": "DANIEL",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "PSY.D, MSCP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-007153",
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "IL",
"license": "374-000010",
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "IL",
"license": "074-000010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.