Active NPI
Carrie Champ Morera, PSY.D.
- Psychologist
- Palmyra, PA
National Provider Identifier
1942577705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS016768
- Practice address
- 128 S Thistledown Dr
Palmyra, PA 17078-9023 - Phone
- (717) 903-7526
- NPI assigned
- Nov 22, 2011
- Last updated
- Apr 29, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC004246 | PA | |
| Psychologist | 103T00000X | PS016768 | PA | Primary |
Addresses
Primary practice location
128 S Thistledown Dr
Palmyra, PA 17078-9023
Mailing address
7901 4TH Street N Ste 300
St. Petersburg, FL 33702
Phone (717) 903-7526
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 |
|---|---|---|---|
| PC004246 | PA | MD | Professional Counselor |
| PS016768 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1942577705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 4TH STREET N STE 300",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "33702",
"telephone_number": "717-903-7526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 S THISTLEDOWN DR",
"city": "PALMYRA",
"state": "PA",
"postal_code": "170789023",
"telephone_number": "717-903-7526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMP MORERA",
"first_name": "CARRIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-22",
"last_updated": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC004246",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS016768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmyra, PA
- C. David Pauli P.C.
- Campbelltown Rehabilitation & Nursing, LLC (Kadima Rehabilitation & Nursing at Campbelltown)
- Brenda Ann Campisano, RPH
- Camdin Rebekia Carpenter, PA-C
- Jason John Castro, MOT, OT/L
- CK KC Inc (Palmyra Pharmacy & Gift Shop)
- CK KC Inc (Palmyra Pharmacy & Gift Shop)
- CK-KC LTC, Inc (Hershey Long Term Care Pharmacy)
- Columbia Cottage - Hershey, LLC
- Tina Jane Copeland, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.