Individual provider Active NPI

Rebecca Gayle Morrison, PHD

  • Clinical Psychologist
  • Winchester, VA
National Provider Identifier
1184726713
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004374 Issued in VA
Practice address
134 W Piccadilly St
Winchester, VA 22601-3916
Phone
(540) 667-1389
Fax
(540) 667-1394
NPI assigned
Sep 3, 2006
Last updated
Aug 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1099 WV
Professional Counselor 101YP2500X 0701002743 VA
Clinical Psychologist 103TC0700X 1025 WV
Clinical Psychologist 103TC0700X 0810004374 VA Primary

Addresses

Primary practice location

134 W Piccadilly St
Winchester, VA 22601-3916

Mailing address

402 S Georgia Avenue
Martinsburg, WV 25401
Phone (304) 267-6250

Other identifiers 2

IdentifierTypeStateIssuer
082464OtherVACOMMUNITY HEALTH
192121OtherVAANTHEM BCBS

Other names 1

  • Rebecca Gayle Palmer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110913000003 VA Practitioner - Clinical Psychologist 6608047253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Behavioral Resources PLCGroup PAC ID 2062698277, 3 clinicians

Practice addresses (Care Compare)

134 W Piccadilly St
Winchester, VA 22601-3916
Phone (540) 667-1389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0701002743VAMDProfessional Counselor
0810004374VAMDClinical Psychologist
1099WVMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Resources PLC CurrentSince Aug 1, 2011 Accepting new patients
Eastern Panhandle Mental Health Center (Group) Past Accepting new patients
Neuropsychological Associates of Winchester PLLC Clinical PastSince Aug 1, 2011 Accepting new patients

Locations

134 W Piccadilly St
Winchester, VA 22601
Phone (540) 662-3400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1184726713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S GEORGIA AVENUE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25401",
            "telephone_number": "304-267-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W PICCADILLY ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013916",
            "telephone_number": "540-667-1389",
            "fax_number": "540-667-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "REBECCA",
        "middle_name": "GAYLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "1099",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002743",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1025",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH",
            "identifier": "082464",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "192121",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "PALMER",
            "middle_name": "GAYLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.