Individual provider Active NPI

Richard Samuel Morgan, M.A.

  • Clinical Psychologist
  • South Charleston, WV
National Provider Identifier
1124356035
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
989 Issued in WV
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

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016000098 WV Practitioner - Clinical Psychologist 8820520836 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
989WVMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Assessment and Intervention Services, LLC CurrentSince Sep 2, 2024 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.

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

Verify at the official NPI Registry.