Corvus Psychotherapy, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CORVUS PSYCHOTHERAPY, LLC

Practice address

1114 Battery Creek Rd
Beaufort, SC 29902-6309

Phone

(410) 302-8854

NPI assigned

Jul 22, 2020

Last updated

Nov 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Marie Mohorovic, PH.D.NPI 1487961959

Title

Psychologist

Phone

(410) 302-8854

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Marie Mohorovic, PH.D.

  • Clinical Psychologist
  • Beaufort, SC
  • NPI 1487961959
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1396353736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 BATTERY CREEK RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026309",
            "telephone_number": "410-302-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 BATTERY CREEK RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026309",
            "telephone_number": "410-302-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORVUS PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "MOHOROVIC",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "410-302-8854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cora Health Services, Inc. (CORA Physical Therapy - Beaufort)
• Susan Kelly Corkery, FNP
• Francisco Abdon Cornejo, PA-C
• Joseph Michael Cornwell, DVM
• Corrective Chiropractic - Beaufort
• Christopher Costa, DC
• County Council of Beaufort County (Beaufort County Emergency Medical Services)
• Angela Minnick Court, M.D.
• Ashley Gottlieb Covington, D.M.D.
• Merre Jay Coyman, D.C.

• Clinical Psychologist in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.