Individual provider Active NPI

Jeremy David Morris, PH.D

  • Psychologist
  • Salina, KS
National Provider Identifier
1891734091
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1370 Issued in KS
Practice address
1307 E Iron Ave
Salina, KS 67401-3231
Phone
(785) 390-8600
Fax
(785) 827-2257
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1370 KS Primary

Addresses

Primary practice location

1307 E Iron Ave
Salina, KS 67401-3231

Mailing address

1307 E Iron Ave
Salina, KS 67401-3231
Phone (785) 390-8600

Other identifiers 1

IdentifierTypeStateIssuer
200372590AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1370KSMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Freudhawk Psychological Enterprises, LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

1307 E Iron Ave
Salina, KS 67401
Phone (785) 390-8600

Interoperability endpoints

  • Direct secure messaging: jeremy.morris@khindirect.org

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1891734091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 E IRON AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013231",
            "telephone_number": "785-390-8600",
            "fax_number": "785-827-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 E IRON AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013231",
            "telephone_number": "785-390-8600",
            "fax_number": "785-827-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JEREMY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-02-14",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "1370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200372590A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.