Healthcare Provider Details

I. General information

NPI: 1619882651
Provider Name (Legal Business Name): B. MORRISON PSYCHOLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23361 MADERO STE 105
MISSION VIEJO CA
92691-2715
US

IV. Provider business mailing address

701 KETTNER BLVD
SAN DIEGO CA
92101-5908
US

V. Phone/Fax

Practice location:
  • Phone: 818-570-1360
  • Fax:
Mailing address:
  • Phone: 818-570-1360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. BRANDON MORRISON
Title or Position: PRESIDENT/CEO
Credential: PSYD
Phone: 818-570-1360