Individual provider Active NPI

Michael John Morris, PHD IN PSYCHOLOGY

  • Psychologist
  • Middleburg Heights, OH
National Provider Identifier
1750411633
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3843 Issued in OH
Practice address
7530 Lucerne Dr
#115
Middleburg Heights, OH 44130-6557
Phone
(440) 243-5530
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 3843 OH Primary

Addresses

Primary practice location

7530 Lucerne Dr
#115
Middleburg Heights, OH 44130-6557

Mailing address

7530 Lucerne Dr
#115
Middleburg Heights, OH 44130-6557
Phone (440) 243-5530

Other identifiers 2

IdentifierTypeStateIssuer
0689447MedicaidOH
11576317OtherCAQH NATIONAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3843OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Counseling Services LLC PastSince Mar 1, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750411633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 LUCERNE DR",
            "address_2": "#115",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306557",
            "telephone_number": "440-243-5530",
            "fax_number": "440-243-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 LUCERNE DR",
            "address_2": "#115",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306557",
            "telephone_number": "440-243-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PHD IN PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "3843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0689447",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NATIONAL",
            "identifier": "11576317",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.