NPIMap

Organization Active NPI

Fred Morrison, MFT

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fremont, CA
National Provider Identifier
1609173194
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
MFC20953 Issued in CA
Legal business name
FRED MORRISON, MFT
Practice address
39803 Paseo Padre Pkwy Ste C
Fremont, CA 94538-2992
Phone
(510) 435-5326
Fax
(510) 244-4787
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Mr. Fred Morrison, MFT
Title
Licensed Marriage Family Therapist
Phone
(510) 435-5326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MFC20953 CA Primary

Addresses

Primary practice location

39803 Paseo Padre Pkwy Ste C
Fremont, CA 94538-2992

Mailing address

39803 Paseo Padre Pkwy Ste C
Fremont, CA 94538-2992
Phone (510) 435-5326

National Provider Directory

National Provider Directory

Locations

39803 Paseo Padre Pkwy
Ste C
Fremont, CA 94538
Phone (510) 435-5326

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1609173194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39803 PASEO PADRE PKWY STE C",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382992",
            "telephone_number": "510-435-5326",
            "fax_number": "510-244-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39803 PASEO PADRE PKWY STE C",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382992",
            "telephone_number": "510-435-5326",
            "fax_number": "510-244-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED MORRISON, MFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "LICENSED MARRIAGE FAMILY THERAPIST",
        "authorized_official_telephone_number": "510-435-5326",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "MFC20953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.