Samantha R Morris, PSYCHOLOGIST

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003497 Issued in CT

Practice address

377 Mansfield Road
Unit 1255
Storrs, CT 06269-1255

Phone

(860) 486-4705

Fax

(860) 486-9159

NPI assigned

Dec 3, 2019

Last updated

Dec 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• University of Connecticut Student Health and Wellness

  • Student Health Clinic/Center
  • Storrs Mansfield, CT
  • NPI 1629097043
  NPD (past)

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1730726324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 MANSFIELD ROAD",
            "address_2": "UNIT 1255",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062691255",
            "telephone_number": "860-486-4705",
            "fax_number": "860-486-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 MANSFIELD ROAD",
            "address_2": "UNIT 1255",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062691255",
            "telephone_number": "860-486-4705",
            "fax_number": "860-486-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "SAMANTHA",
        "middle_name": "R",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabelle Montero
• Pamela A. Moore, M.D.
• Chelsea Morales, PSYD
• Patricia Lynne Moriarty, APRN
• Leah Moroknek
• Melanie Morrissette, L.M.T.
• Susan B Munroe, MA
• Catherine Mydosh
• Nicholas Nelson
• Kathryn Ora Nettleton, PAC

• Clinical Psychologist in Storrs, CT
• Providers in Storrs, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.