Active NPI
Clifford O Morgan Jr., PH.D
- Clinical Psychologist
- Los Lunas, NM
National Provider Identifier
1144345109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 174
- Practice address
- 119 Telles St SW
Los Lunas, NM 87031-8518 - Phone
- (505) 865-7100
- Fax
- (505) 865-7100
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 174 | NM | Primary |
Addresses
Primary practice location
119 Telles St SW
Los Lunas, NM 87031-8518
Mailing address
119 Telles St SW
P.O. Boc 1757
Los Lunas, NM 87031-8518
Phone (505) 865-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N6200 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174 | NM | MD | Athletic Trainer |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Los Lunas, NM
- NPI 1912976648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1144345109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 TELLES ST SW",
"address_2": "P.O. BOC 1757",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870318518",
"telephone_number": "505-865-7100",
"fax_number": "505-865-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 TELLES ST SW",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870318518",
"telephone_number": "505-865-7100",
"fax_number": "505-865-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "CLIFFORD",
"middle_name": "O",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N6200",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.