Active NPI
Nancy Lynn Morgan, M.S., PH.D.
- Psychologist
- Concord, CA
National Provider Identifier
1336356187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 23397
- Practice address
- 1333 Willow Pass Rd
Suite 102
Concord, CA 94520-7930 - Phone
- (925) 825-1793
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C3815 | OR | |
| Psychologist | 103T00000X | PSY 23397 | CA | Primary |
Addresses
Primary practice location
1333 Willow Pass Rd
Suite 102
Concord, CA 94520-7930
Mailing address
35 Bear Paw
Portola Valley, CA 94028-8014
Phone (925) 323-6885
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)
- Enrolled
- Credentials
- Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3815 | OR | MD | Professional Counselor |
| PSY 23397 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1336356187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 BEAR PAW",
"city": "PORTOLA VALLEY",
"state": "CA",
"postal_code": "940288014",
"telephone_number": "925-323-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 WILLOW PASS RD",
"address_2": "SUITE 102",
"city": "CONCORD",
"state": "CA",
"postal_code": "945207930",
"telephone_number": "925-825-1793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "NANCY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "M.S., PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C3815",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 23397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.