Active NPI
Hani Morcos
- Marriage & Family Therapist
- San Dimas, CA
National Provider Identifier
1740575117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 106777
- Practice address
- 425 W Bonita Ave Ste 103
San Dimas, CA 91773-2543 - Phone
- (626) 428-0512
- NPI assigned
- Jun 14, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 106777 | CA | Primary |
Addresses
Primary practice location
425 W Bonita Ave Ste 103
San Dimas, CA 91773-2543
Mailing address
425 W Bonita Ave Ste 103
San Dimas, CA 91773-2543
Phone (626) 428-0512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 9, 2024 through Apr 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106777 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothill Family Service | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pasadena, CA
- NPI 1386824100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1740575117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W BONITA AVE STE 103",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917732543",
"telephone_number": "626-428-0512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W BONITA AVE STE 103",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917732543",
"telephone_number": "626-428-0512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORCOS",
"first_name": "HANI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-14",
"last_updated": "2022-12-19",
"certification_date": "2022-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "106777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Dimas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.