Individual provider Active NPI

Jennifer Merle Morgan, PSY.D.

  • Clinical Neuropsychologist
  • Mechanicsville, VA
National Provider Identifier
1568401123
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0810001987 Issued in VA
Practice address
9202 Center Oak CT
Mechanicsville, VA 23116
Phone
(804) 730-0432
Fax
(804) 730-2829
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810001987 VA
Clinical Psychologist 103TC0700X PSY002693 GA
Clinical Neuropsychologist 103G00000X 0810001987 VA Primary

Addresses

Primary practice location

9202 Center Oak CT
Mechanicsville, VA 23116

Mailing address

9202 Center Oak CT
Mechanicsville, VA 23116-2744
Phone (804) 730-0432

Other identifiers 4

IdentifierTypeStateIssuer
292204OtherVAANTHEM BCBS
007713169MedicaidVA
007713177MedicaidVA
083502OtherVASENTARA MENTAL HEALTH

Other names 1

  • Jennifer Merle Hoffman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100921001463 VA Practitioner - Clinical Psychologist 3971629486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Jewish Family Services, Inc.Group PAC ID 1850296039, 14 clinicians

Practice addresses (Care Compare)

6718 Patterson Ave
Richmond, VA 23226-3419
Phone 8042825644270

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY002693GAMDClinical Psychologist
0810001987VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Services Inc CurrentSince Jun 1, 2021 Accepting new patients
Jewish Family Services, Inc Clinical Neuropsychologist CurrentSince Jun 1, 2021 Accepting new patients
Hampton Roads Neuropsychology Clinical Neuropsychologist PastSince Apr 15, 2020 Accepting new patients

Locations

6718 Patterson Ave
Richmond, VA 23226
Phone (804) 282-5644

Interoperability endpoints

  • Direct secure messaging: jennifer.morgan.1@30451.direct.athenahealth.com
  • Direct secure messaging: commonwealthcounselingassociates.jennifermorgan@134000.advancedmd-direct.com

Organizations & group practices 3

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1568401123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 CENTER OAK CT",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162744",
            "telephone_number": "804-730-0432",
            "fax_number": "804-730-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 CENTER OAK CT",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "23116",
            "telephone_number": "804-730-0432",
            "fax_number": "804-730-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JENNIFER",
        "middle_name": "MERLE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001987",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002693",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810001987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "292204",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007713169",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007713177",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA MENTAL HEALTH",
            "identifier": "083502",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HOFFMAN",
            "middle_name": "MERLE",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.