Active NPI
Larissa Morgan, PSY.D.
- Psychologist
- Bel Air, MD
National Provider Identifier
1639633266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 05678
- Practice address
- 2107 Laurel Bush Rd Ste 206
Bel Air, MD 21015-5203 - Phone
- (443) 619-3891
- Fax
- (443) 819-2015
- NPI assigned
- Jan 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 05678 | MD | Primary |
Addresses
Primary practice location
2107 Laurel Bush Rd Ste 206
Bel Air, MD 21015-5203
Mailing address
2107 Laurel Bush Rd Ste 206
Bel Air, MD 21015-5203
Phone (443) 619-3891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05678 | MD | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Psychological Services, LLC | Psychologist | Current | Accepting new patients |
Locations
2107 Laurel Bush Rd
Ste 206
Bel Air, MD 21015
Phone (443) 619-3891
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.
-
- Psychologist
- Bel Air, MD
- NPI 1679391056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1639633266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 LAUREL BUSH RD STE 206",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210155203",
"telephone_number": "443-619-3891",
"fax_number": "443-819-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 LAUREL BUSH RD STE 206",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210155203",
"telephone_number": "443-619-3891",
"fax_number": "443-819-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "LARISSA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-28",
"last_updated": "2024-10-04",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "05678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.