Individual provider Active NPI

Mark Randolph Morton, PH.D.

  • Marriage & Family Therapist
  • San Bernardino, CA
National Provider Identifier
1306255963
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
80852 Issued in CA
Practice address
1881 Commercenter E
Suite 232
San Bernardino, CA 92408-3456
Phone
(909) 890-4466
Fax
(909) 890-4278
NPI assigned
Aug 7, 2014
Last updated
Aug 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 80852 CA Primary

Addresses

Primary practice location

1881 Commercenter E
Suite 232
San Bernardino, CA 92408-3456

Mailing address

1881 Commercenter E
Suite 232
San Bernardino, CA 92408-3456
Phone (909) 890-4466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Care Counselors Incorporated Marriage & Family Therapist CurrentSince Jul 25, 2019 Accepting new patients
Care Marriage and Family Therapists, Inc. Marriage & Family Therapist CurrentSince Oct 13, 2019 Accepting new patients

Locations

1881 Commercenter E
Ste 232
San Bernardino, CA 92408
Phone (909) 890-0525

Organizations & group practices 2

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": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1306255963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 COMMERCENTER E",
            "address_2": "SUITE 232",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083456",
            "telephone_number": "909-890-4466",
            "fax_number": "909-890-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 COMMERCENTER E",
            "address_2": "SUITE 232",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083456",
            "telephone_number": "909-890-4466",
            "fax_number": "909-890-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "MARK",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "80852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.