Clarence D Morgan, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0778 Issued in KS

Practice address

7829 E Rockhill St
Suite #105
Wichita, KS 67206-3920

Phone

(316) 293-3850

Fax

(316) 683-6733

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• C Don Morgan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1073575775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N KANSAS",
            "address_2": "STE #3049",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143199",
            "telephone_number": "316-293-2647",
            "fax_number": "316-293-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7829 E ROCKHILL ST",
            "address_2": "SUITE #105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063920",
            "telephone_number": "316-293-3850",
            "fax_number": "316-683-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "CLARENCE",
        "middle_name": "D",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "0778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100239860A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10940",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C DON",
            "last_name": "MORGAN",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lita Rabanillo Moran
• Natasha Robin Moran, CPTA
• Lisa Luann Morck, RN
• Desirae Angela Moreno, LP
• Christa Morgan, DO
• Daniel Morgan, MD
• Debra J. Buckle Morgan, F.N.P., P.M.H.N.P.
• Jacqueline Michelle Morgan, MD
• Jill Anita Morgan
• Jon Robert Morgan, D.P.M.

• Clinical Psychologist in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.