Active NPI
George Morrera, PHD
- Clinical Psychologist
- Simi Valley, CA
National Provider Identifier
1003922089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY10682
- Practice address
- 1687 Erringer Rd
Suite 106
Simi Valley, CA 93065-6508 - Phone
- (805) 527-1010
- Fax
- (805) 493-1067
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY10682 | CA | Primary |
Addresses
Primary practice location
1687 Erringer Rd
Suite 106
Simi Valley, CA 93065-6508
Mailing address
1687 Erringer Rd
Suite 106
Simi Valley, CA 93065-6508
Phone (805) 527-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS4106820 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061213000399 | CA | Practitioner - Clinical Psychologist | 4082613310 | Practice locations: Thousand Oaks, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
223 E Thousand Oaks Blvd
Suite 103
Thousand Oaks, CA 91360-7706
Phone (805) 427-2860
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10682 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1003922089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1687 ERRINGER RD",
"address_2": "SUITE 106",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930656508",
"telephone_number": "805-527-1010",
"fax_number": "805-493-1067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1687 ERRINGER RD",
"address_2": "SUITE 106",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930656508",
"telephone_number": "805-527-1010",
"fax_number": "805-493-1067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRERA",
"first_name": "GEORGE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY10682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PS4106820",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.