Organization Active NPI

Kim Morrison NP Psychiatry PLLC

  • Adult Mental Health Clinic/Center
  • Bronxville, NY
National Provider Identifier
1740418722
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
401174 Issued in NY
Legal business name
KIM MORRISON NP PSYCHIATRY PLLC
Practice address
81 Pondfield Rd
Suite 12
Bronxville, NY 10708-3818
Phone
(917) 484-1202
NPI assigned
Jun 29, 2009
Last updated
Dec 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Ms. Kim Morrison, NPNPI 1427293042
Title
Psychiatric Nurse Practitioner
Phone
(917) 484-1202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 401174 NY Primary

Addresses

Primary practice location

81 Pondfield Rd
Suite 12
Bronxville, NY 10708-3818

Mailing address

81 Pondfield Rd
Suite 12
Bronxville, NY 10708-3818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101123000615 NY Part B Supplier - Clinic/Group Practice 2961698451 Receives reassigned benefits from 1 practitioner
Practice locations: Bronxville, NY

National Provider Directory

National Provider Directory

Locations

81 Pondfield Rd
Ste 12
Bronxville, NY 10708
Phone (917) 484-1202

280 N Central Ave
Ste 35
Hartsdale, NY 10530
Phone (914) 876-6235

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1740418722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 PONDFIELD RD",
            "address_2": "SUITE 12",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 PONDFIELD RD",
            "address_2": "SUITE 12",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083818",
            "telephone_number": "917-484-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM MORRISON NP PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "917-484-1202",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "401174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.