Individual provider Active NPI

Kitt Murrison, PHD

  • Clinical Psychologist
  • Redding, CA
National Provider Identifier
1588683452
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY13501 Issued in CA
Practice address
5200 Churn Creek Rd
Suite E
Redding, CA 96002-3930
Phone
(530) 224-9341
Fax
(530) 223-0977
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PSY13501 CA Primary

Addresses

Primary practice location

5200 Churn Creek Rd
Suite E
Redding, CA 96002-3930

Mailing address

5200 Churn Creek Rd
Suite E
Redding, CA 96002-3930
Phone (530) 224-9341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20091001000706 CA Practitioner - Clinical Psychologist 3577609734 Practice locations: Redding, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2757 Bechelli Lane
Redding, CA 96002-1924

2757 Bechelli LN
Redding, CA 96002-1924
Phone (530) 224-9341

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY13501CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588683452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 CHURN CREEK RD",
            "address_2": "SUITE E",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960023930",
            "telephone_number": "530-224-9341",
            "fax_number": "530-223-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 CHURN CREEK RD",
            "address_2": "SUITE E",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960023930",
            "telephone_number": "530-224-9341",
            "fax_number": "530-223-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRISON",
        "first_name": "KITT",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.