Individual provider Active NPI

Carolyn Morgan, PH.D.

  • Clinical Psychologist
  • Nashua, NH
National Provider Identifier
1497899520
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
516 Issued in NH
Practice address
30 Temple St
Suite 105
Nashua, NH 03060
Phone
(603) 880-9880
Fax
(603) 880-9880
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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 516 NH Primary

Addresses

Primary practice location

30 Temple St
Suite 105
Nashua, NH 03060

Mailing address

30 Temple St
Suite 105
Nashua, NH 03060
Phone (603) 880-9880

Other identifiers 1

IdentifierTypeStateIssuer
80000757MedicaidNH

Other names 1

  • Carolyn Morgan Hafez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20051022000234 NH Practitioner - Clinical Psychologist 9537185111 Practice locations: Nashua, NH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Temple St
Nashua, NH 03060-3449
Phone (603) 880-9880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
516NHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Perspectives-Innovative Mental Health Services, PLLC PastSince Mar 9, 2015 Accepting new patients
Nashua Pain Management Corporation Past Accepting new patients

Organizations & group practices 2

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1497899520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TEMPLE ST",
            "address_2": "SUITE 105",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03060",
            "telephone_number": "603-880-9880",
            "fax_number": "603-880-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TEMPLE ST",
            "address_2": "SUITE 105",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03060",
            "telephone_number": "603-880-9880",
            "fax_number": "603-880-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80000757",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "HAFEZ",
            "middle_name": "MORGAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.