MEDICARE: DR. JOHN SOMERS MORRELL PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	2230	WI
2	103T00000X	Psychologist	2230057	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184642688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN SOMERS MORRELL PHD

Provider Business Mailing Address
First Line	:	5900 N PORT WASHINGTON RD
Second Line	:	SUITE 230 HEALTH PSYCHOLOGY ASSOCIATES
City	:	GLENDALE
State	:	WI
Zip	:	53217
Country	:	US
Telephone Number	:	414-962-4048
Fax Number	:	414-962-4052

Provider Business Practice Location Address
First Line	:	5007 S HOWELL AVE STE 300
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-6158
Country	:	US
Telephone Number	:	262-789-1191
Fax Number	:	414-962-4052

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	02/12/2026

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