TK Svensson MD & S Morrow MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G80502 Issued in CA

Legal business name

TK SVENSSON MD & S MORROW MD INC

Practice address

25 Edwards CT Ste 105
Burlingame, CA 94010-2421

Phone

(650) 504-3801

NPI assigned

Jun 25, 2006

Organization subpart

Yes

Parent organization

TK SVENSSON MD & S MORROW MD INCAs reported in NPPES

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

Authorized official

Name

Dr. Travis K Svensson, MD, NP, RNNPI 1780619783

Title

Owner

Phone

(650) 342-1966

Specialties & licenses 4

Addresses

Other identifiers 12

Other names 1

• Clinical Training & Research Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Travis K Svensson, MD, FNP, PMHNP, PHD

  • Psychiatry Physician
  • Burlingame, CA
  • NPI 1780619783
  Medicare reassignment Care Compare group Authorized official
• Susan Word, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • South San Franciso, CA
  • NPI 1366897159
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1730115247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 EDWARDS CT STE 105",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102421",
            "telephone_number": "650-342-1966",
            "fax_number": "650-685-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 EDWARDS CT STE 105",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102421",
            "telephone_number": "650-504-3801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4104 24th St # 521",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941143676",
            "country_code": "US",
            "telephone_number": "415-406-3676",
            "fax_number": "650-685-6552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TK SVENSSON MD & S MORROW MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TK SVENSSON MD & S MORROW MD INC",
        "enumeration_date": "2006-06-25",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "SVENSSON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-342-1966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, NP, RN"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "G80502",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G80502",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G80502",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "G80502",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "0001131400",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "466412213",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "344648",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "466412213",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USA",
            "identifier": "0005381727",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAN MATEO COUNTY MENTAL H",
            "identifier": "80504",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "466412213",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE BEHAVIORAL HEA",
            "identifier": "5578-03",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH CALIFORNIA",
            "identifier": "3697319",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE SERVICE",
            "identifier": "15-65929",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "151885",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USBEHAVIORALHEALTHPLAN",
            "identifier": "1565929",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Training & Research Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clinical Training & Research Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatry Physician in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.