Active NPI
Morgan Kamerdze Bifano, PSY. D.
- Clinical Psychologist
- Baltimore, MD
National Provider Identifier
1699295584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 06242
- Practice address
- 707 N Broadway
Baltimore, MD 21205-1832 - Phone
- (443) 923-2632
- NPI assigned
- Jun 22, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 06242 | MD | Primary |
Addresses
Primary practice location
707 N Broadway
Baltimore, MD 21205-1832
Mailing address
511 Branch Line Rd Apt 43
Odenton, MD 21113-2179
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 |
|---|---|---|---|
| 06242 | MD | MD | Speech-Language Pathologist |
Interoperability endpoints
- mbifano471863@direct.hopkinsmedicine.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1699295584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 BRANCH LINE RD APT 43",
"city": "ODENTON",
"state": "MD",
"postal_code": "211132179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 N BROADWAY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212051832",
"telephone_number": "443-923-2632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIFANO",
"first_name": "MORGAN",
"middle_name": "KAMERDZE",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-22",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "06242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.