Individual provider Active NPI

Sean Morrison, PH.D.

  • Clinical Psychologist
  • Tacoma, WA
National Provider Identifier
1326415472
Registry record updated Jun 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60898794 Issued in WA
Practice address
708 Broadway Ste 170
Tacoma, WA 98402-3778
Phone
(253) 777-1948
NPI assigned
Aug 25, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 37411 TX
Clinical Psychologist 103TC0700X PY60898794 WA Primary

Addresses

Primary practice location

708 Broadway Ste 170
Tacoma, WA 98402-3778

Mailing address

708 Broadway Ste 170
Tacoma, WA 98402-3778

Other practice location 1

1901 Veterans Memorial Dr
Bldg. 147
Temple, TX 76504-7451
Phone (254) 778-4811

Other practice location 2

1901 Veterans Memorial Dr
Mental Health Clinic (Building 147)
Temple, TX 76504-7451
Phone (253) 777-1948

Other practice location 3

9600 Veterans Dr
building 61
Lakewood, WA 98493
Phone (253) 583-2741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 30, 2023 through Dec 30, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37411TXMDClinical Psychologist
PY60898794WAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592006400000",
    "number": "1326415472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 BROADWAY STE 170",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 BROADWAY STE 170",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023778",
            "telephone_number": "253-777-1948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Veterans Memorial Dr",
            "address_2": "Bldg. 147",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765047451",
            "country_code": "US",
            "telephone_number": "254-778-4811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Veterans Memorial Dr",
            "address_2": "Mental Health Clinic (Building 147)",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765047451",
            "country_code": "US",
            "telephone_number": "253-777-1948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9600 Veterans Dr",
            "address_2": "building 61",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "98493",
            "country_code": "US",
            "telephone_number": "253-583-2741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37411",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60898794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.