Individual provider Active NPI

Frederic Morrison, MFT

  • Marriage & Family Therapist
  • Fremont, CA
National Provider Identifier
1013926674
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC20953 Issued in CA
Practice address
39803 Paseo Padre Pkwy Ste C
Fremont, CA 94538-2992
Phone
(510) 435-5326
Fax
(510) 244-4787
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC20953 CA Primary

Addresses

Primary practice location

39803 Paseo Padre Pkwy Ste C
Fremont, CA 94538-2992

Mailing address

39803 Paseo Padre Pkwy Ste C
Fremont, CA 94538-2992
Phone (510) 435-5326

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

LicenseStateTypeSpecialty
MFC20953CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fred Morrison, MFT Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1013926674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39803 PASEO PADRE PKWY STE C",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382992",
            "telephone_number": "510-435-5326",
            "fax_number": "510-244-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39803 PASEO PADRE PKWY STE C",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382992",
            "telephone_number": "510-435-5326",
            "fax_number": "510-244-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "FREDERIC",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC20953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.