Individual provider Active NPI

Jennifer Morgan, PSYD

  • Clinical Psychologist
  • Uniontown, OH
National Provider Identifier
1427099092
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6142 Issued in OH
Practice address
1790 Town Park Blvd
Suite C
Uniontown, OH 44685-7972
Phone
(330) 575-7096
Fax
(330) 896-0887
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6142 OH Primary

Addresses

Primary practice location

1790 Town Park Blvd
Suite C
Uniontown, OH 44685-7972

Mailing address

11034 Bancroft Ave NW
Uniontown, OH 44685-8686
Phone (330) 575-7096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20050802001208 OH Practitioner - Clinical Psychologist 2769410570 Practice locations: Uniontown, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1790 Town Park Blvd
Suite C
Uniontown, OH 44685-7972
Phone (330) 896-0856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6142OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Davemma, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1427099092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11034 BANCROFT AVE NW",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446858686",
            "telephone_number": "330-575-7096",
            "fax_number": "330-896-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 TOWN PARK BLVD",
            "address_2": "SUITE C",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857972",
            "telephone_number": "330-575-7096",
            "fax_number": "330-896-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

Verify at the official NPI Registry.