Healthcare Provider Details

I. General information

NPI: 1578290748
Provider Name (Legal Business Name): JOSEPH MORRIS PHD, PHNP, AMC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2022
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W BROADWAY STE 310
LONG BEACH CA
90802-4438
US

IV. Provider business mailing address

333 W BROADWAY STE 310
LONG BEACH CA
90802-4438
US

V. Phone/Fax

Practice location:
  • Phone: 562-491-6465
  • Fax:
Mailing address:
  • Phone: 562-491-6465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number867030
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number1922516962
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: