Kane Sherrod Morris, LLC

Primary specialty

Family PsychologistTaxonomy code 103TF0000X

License

802166677 Issued in MI

Practice address

2925 Russell St
Detroit, MI 48207-4825

Phone

(248) 820-2079

NPI assigned

Jun 26, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1851952196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072302",
            "telephone_number": "248-820-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 RUSSELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074825",
            "telephone_number": "248-820-2079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11560 Harper Ave Rm 221",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482131633",
            "country_code": "US",
            "telephone_number": "248-802-7298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6309 Mack Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482072302",
            "country_code": "US",
            "telephone_number": "248-820-2079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "KANE",
        "middle_name": "SHERROD",
        "credential": "LLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "MI",
            "license": "802166677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "V0811119F",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Health",
            "affiliation": "N",
            "endpointDescription": "Molina Health Insurance",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Kane S. Morris",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Molina Health Insurance",
            "address_1": "11560 Harper Ave Rm 221",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482131633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eric Daniel Morris, PHD
• Evelyn Morris, RN
• James Morris
• Jasmine A Morris, LPN
• Juliette Laverne Morris, RN
• Katherine Ann Morris
• Kevin Darnell Morris Sr.
• Kimberlyn Morris
• Kristin Elisabeth Morris, AT
• Lasandrus Morris

• Family Psychologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.