Provider Demographics
NPI:1588682223
Name:MOREY, JEFFREY (PHD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:MOREY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 BUTTERFIELD ROAD A204
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:NY
Mailing Address - Zip Code:10516
Mailing Address - Country:US
Mailing Address - Phone:212-337-0986
Mailing Address - Fax:800-725-6380
Practice Address - Street 1:22 BUTTERFIELD ROAD A204
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:NY
Practice Address - Zip Code:10516
Practice Address - Country:US
Practice Address - Phone:212-337-0986
Practice Address - Fax:800-725-6380
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011408-1103TC0700X
NY011408103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01891529Medicaid
NY01891529Medicaid