Active NPI
Helen B Ferguson, PH.D.
- Psychologist
- Fort Worth, TX
National Provider Identifier
1003977679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 21805
- Practice address
- 3840 Hulen St
HTN, Client Accounting
Fort Worth, TX 76107-7277 - Phone
- (817) 569-4395
- Fax
- (817) 569-4517
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 21805 | TX | Primary |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 21805 | TX |
Addresses
Primary practice location
3840 Hulen St
HTN, Client Accounting
Fort Worth, TX 76107-7277
Mailing address
3840 Hulen St
HTN, Client Accounting
Fort Worth, TX 76107-7277
Phone (817) 569-4395
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150897004 | Medicaid | TX | |
| 150897001 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denton County MHMR Center | Past | Accepting new patients | |
| Texas Family Psychology Associates, PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Denton, TX
- NPI 1578551347
-
- Clinical Psychologist
- Dallas, TX
- NPI 1396933172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272240000000",
"number": "1003977679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3840 HULEN ST",
"address_2": "HTN, CLIENT ACCOUNTING",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761077277",
"telephone_number": "817-569-4395",
"fax_number": "817-569-4517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 HULEN ST",
"address_2": "HTN, CLIENT ACCOUNTING",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761077277",
"telephone_number": "817-569-4395",
"fax_number": "817-569-4517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "HELEN",
"middle_name": "B",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2010-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "21805",
"primary": true
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "TX",
"license": "21805",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150897004",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150897001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.