Individual provider Active NPI

Morris N. Lewis Jr., PHD

  • Psychologist
  • Salt Lake City, UT
National Provider Identifier
1740274299
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2774677-2501 Issued in UT
Practice address
1116 Mercedes Way
Salt Lake City, UT 84108-2016
Phone
(801) 673-4841
NPI assigned
Sep 9, 2005
Last updated
Dec 6, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2774677-2501 UT Primary

Addresses

Primary practice location

1116 Mercedes Way
Salt Lake City, UT 84108-2016

Mailing address

PO Box 581396
Salt Lake City, UT 84158-1396
Phone (801) 673-4841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20040621001015 UT Practitioner - Clinical Psychologist 6103728589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 E 3900
Salt Lake City, UT 84124-1300
Phone (801) 293-6800

306 River Bend LN
Provo, UT 84604-5625
Phone (801) 226-5838

5825 Harrison Blvd
South Ogden, UT 84403-4316
Phone (801) 475-5254

8074 S 1300
Sandy, UT 84094-0743
Phone (801) 561-3400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2774677-2501UTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Mental Health, Inc. Psychologist CurrentSince Jun 22, 2001 Accepting new patients

Locations

8074 S 1300 E
Sandy, UT 84094
Phone (801) 561-3400

5825 Harrison Blvd
South Ogden, UT 84403
Phone (801) 475-5254

Organizations & group practices 1

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1740274299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 581396",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841581396",
            "telephone_number": "801-673-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 MERCEDES WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082016",
            "telephone_number": "801-673-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MORRIS",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "2774677-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.