Active NPI
Ardyce M Morgan, ED.D
- School Psychologist
- Weston, WV
National Provider Identifier
1003916073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 21011
- Practice address
- 239 Court Ave
Weston, WV 26452-2099 - Phone
- (304) 269-8300
- Fax
- (304) 269-8342
- NPI assigned
- Sep 22, 2006
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 21011 | WV | Primary |
Addresses
Primary practice location
239 Court Ave
Weston, WV 26452-2099
Mailing address
33 Hillcrest LN
Bridgeport, WV 26330-9364
Phone (304) 842-4743
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0164067000 | Medicaid | WV |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21011 | WV | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003916073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 HILLCREST LN",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309364",
"telephone_number": "304-842-4743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 COURT AVE",
"city": "WESTON",
"state": "WV",
"postal_code": "264522099",
"telephone_number": "304-269-8300",
"fax_number": "304-269-8342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "ARDYCE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "ED.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WV",
"license": "21011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0164067000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weston, WV
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.