Active NPI
Richard Samuel Morgan, M.A.
- Clinical Psychologist
- South Charleston, WV
National Provider Identifier
1124356035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 989
- Practice address
- 4834 Maccorkle Ave SW
South Charleston, WV 25309-1340 - Phone
- (304) 346-9586
- Fax
- (303) 344-2169
- NPI assigned
- Dec 4, 2009
- 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 | 989 | WV | Primary |
Addresses
Primary practice location
4834 Maccorkle Ave SW
South Charleston, WV 25309-1340
Mailing address
4834 Maccorkle Ave SW
South Charleston, WV 25309-1340
Phone (304) 346-9586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 989 | WV | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Assessment and Intervention Services, LLC | Current | Accepting new patients | |
| Morgan Psychology Services PLLC | Current | Accepting new patients | |
| Psychological Assessment & Intervention Services, LLC | Past | Accepting new patients |
Locations
1 Dunbar Plz
Ste 100A
Dunbar, WV 25064
Phone (304) 766-9830
Organizations & group practices 3
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.
-
- Psychologist
- Dunbar, WV
- NPI 1356475412
-
- Psychologist
- Chapmanville, WV
- NPI 1598659153
-
- Respite Care
- Dunbar, WV
- NPI 1477955235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259884800000",
"number": "1124356035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4834 MACCORKLE AVE SW",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253091340",
"telephone_number": "304-346-9586",
"fax_number": "303-344-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4834 MACCORKLE AVE SW",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253091340",
"telephone_number": "304-346-9586",
"fax_number": "303-344-2169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "RICHARD",
"middle_name": "SAMUEL",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-04",
"last_updated": "2009-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.