NPIMap

Organization Active NPI

Psychology & Counseling Services Inc

  • Clinical Psychologist
  • Los Lunas, NM
National Provider Identifier
1912976648
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
174 Issued in NM
Legal business name
PSYCHOLOGY & COUNSELING SERVICES INC
Practice address
119 Telles St SW
Los Lunas, NM 87031-8518
Phone
(505) 865-7100
Fax
(505) 865-7100
NPI assigned
Mar 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Dr. Clifford O. Morgan Jr., PH.D
Title
President/Owner
Phone
(505) 865-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 174 NM Primary

Addresses

Primary practice location

119 Telles St SW
Los Lunas, NM 87031-8518

Mailing address

PO Box 1757
119 Teles SW
Los Lunas, NM 87031-1757
Phone (505) 865-7100

Other identifiers 2

IdentifierTypeStateIssuer
N6200MedicaidNM
NM100185OtherNMVALUEOPTIONS, NM

Other names 1

  • Dr. Clifford O. Morgan Other name

National Provider Directory

National Provider Directory

Locations

119 Teles St SW
Los Lunas, NM 87031
Phone (505) 865-7100

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": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1912976648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1757",
            "address_2": "119 TELES SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870311757",
            "telephone_number": "505-865-7100",
            "fax_number": "505-865-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 TELLES ST SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870318518",
            "telephone_number": "505-865-7100",
            "fax_number": "505-865-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY & COUNSELING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "505-865-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N6200",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS, NM",
            "identifier": "NM100185",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Clifford O. Morgan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Lunas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.