Emily Mirriam Morgan III

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Practice address

1013 Winnie St
Poplar Bluff, MO 63901-6457

Phone

(573) 872-0665

NPI assigned

May 13, 2020

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1770105793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WARREN ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639017163",
            "telephone_number": "573-872-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 WINNIE ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639016457",
            "telephone_number": "573-872-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "EMILY",
        "middle_name": "MIRRIAM",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catera Moore
• Kendall Danielle Moore
• Madison Nicole Moore
• Makayla Christine Moore, LMSW
• Sylvia Moran
• Rebeccar Lynn Morgan
• Jennifer L Morin
• Lilith Grace Morris
• Lorelei Morris
• Christopher Lincoln Morse, ATC

• Intellectual & Developmental Disabilities Psychologist in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Intellectual & Developmental Disabilities Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.