Chad Yates Morgan Jr., PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2-3134 Issued in TX

Practice address

1905 Mall Dr
Texarkana, TX 75503-2641

Phone

(903) 792-8397

Fax

(903) 791-1925

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

Yes

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

• Dr. C. Yates Morgan Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164524880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 COUNTY ROAD 2308",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755036343",
            "telephone_number": "903-832-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 MALL DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032641",
            "telephone_number": "903-792-8397",
            "fax_number": "903-791-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "CHAD",
        "middle_name": "YATES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-3134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "A81L",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C.",
            "last_name": "MORGAN",
            "middle_name": "YATES",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shannon Larie Mitchell, RN-ACNP
• Cori Mychel Mobbs, OT
• Mobile Digital Imaging LLC
• D'Ann Michelle Montoya
• Gregory R Montoya, MD
• Betty J Morris
• Clay Morris
• Megan Marie Morrissey-Jones
• James H Moser, O.D.
• Claudia Denise Moss

• Clinical Psychologist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.