Individual provider Active NPI

Susan Meecham Morse, PH.D.

  • Psychologist
  • Saint Louis, MO
National Provider Identifier
1942224407
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
01230 Issued in MO
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 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 Former name

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
01230MOMDPsychologist

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.

Verify at the official NPI Registry.