Active NPI
Susan Meecham Morse, PH.D.
- Psychologist
- Saint Louis, MO
National Provider Identifier
1942224407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 01230
- Practice address
- 12255 Depaul Dr
Suite 250 Medical BLDG North
Saint Louis, MO 63044 - Phone
- (314) 344-7880
- Fax
- (314) 298-0556
- NPI assigned
- Jul 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 01230 | MO | Primary |
Addresses
Primary practice location
12255 Depaul Dr
Suite 250 Medical BLDG North
Saint Louis, MO 63044
Mailing address
12255 Depaul Dr
Suite 250 Medical BLDG North
Saint Louis, MO 63044
Phone (314) 344-7880
Other names 1
- Mrs. Susan Meecham Reidhead
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01230 | MO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942224407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12255 DEPAUL DR",
"address_2": "SUITE 250 MEDICAL BLDG NORTH",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63044",
"telephone_number": "314-344-7880",
"fax_number": "314-298-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12255 DEPAUL DR",
"address_2": "SUITE 250 MEDICAL BLDG NORTH",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63044",
"telephone_number": "314-344-7880",
"fax_number": "314-298-0556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORSE",
"first_name": "SUSAN",
"middle_name": "MEECHAM",
"name_prefix": "Mrs.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "01230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "REIDHEAD",
"middle_name": "MEECHAM",
"prefix": "MRS.",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.