Mary Colleen Morgan, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8517 Issued in FL

Practice address

Winn Army Community Hospital
1061 Harmon Avenue
Ft. Stewart, GA 31314-5641

Phone

(912) 435-5687

Fax

(912) 435-5966

NPI assigned

Mar 10, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurothryve

  • Clinical Psychologist
  • Vancouver, WA
  • NPI 1851835920
  NPD (past)

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1407179096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WINN ARMY COMMUNITY HOSPITAL",
            "address_2": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "941-302-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WINN ARMY COMMUNITY HOSPITAL",
            "address_2": "1061 HARMON AVENUE",
            "city": "FT. STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-435-5687",
            "fax_number": "912-435-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "MARY",
        "middle_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8517",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60117572",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "EM967B",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Alberto Morales, M.D.
• Neil Evans Morey, DMD
• Anne Marie Morgan, CNM
• Gabriel David Morgan, DPT
• Madison Ambrielle Morgan
• Jennifer Lee Morris, LCSW
• Krystal Lee Morris, PT
• Kyle Dodd Morris
• Benjmain Morrison
• Melissa Morrison, LCSW

• Clinical Psychologist in Ft. Stewart, GA
• Providers in Ft. Stewart, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.