Organization Active NPI

Morgan & Associates Psychserve, P.C.

  • Clinical Psychologist
  • Oak Park, IL
National Provider Identifier
1972637494
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MORGAN & ASSOCIATES PSYCHSERVE, P.C.
Practice address
503 S Oak Park Ave
Suite 204
Oak Park, IL 60304-1224
Phone
(708) 660-0776
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stacy Aniece Morgan, PH.D.
Title
President and Psychologist
Phone
(708) 660-0776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X IL Primary

Addresses

Primary practice location

503 S Oak Park Ave
Suite 204
Oak Park, IL 60304-1224

Mailing address

503 S Oak Park Ave
Suite 204
Oak Park, IL 60304-1224
Phone (708) 660-0776

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972637494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 S OAK PARK AVE",
            "address_2": "SUITE 204",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041224",
            "telephone_number": "708-660-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S OAK PARK AVE",
            "address_2": "SUITE 204",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041224",
            "telephone_number": "708-660-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN & ASSOCIATES PSYCHSERVE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "ANIECE",
        "authorized_official_title_or_position": "PRESIDENT AND PSYCHOLOGIST",
        "authorized_official_telephone_number": "708-660-0776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.