Donald D Ferguson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1376-057 Issued in WI

Practice address

951 Kimball LN Ste 206
Infinite Relationships, LLC
Verona, WI 53593-1786

Phone

(608) 848-8000

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Infinite Relationships LLC

  • Community/Behavioral Health Agency
  • Verona, WI
  • NPI 1639405996
  NPD (past) Authorized official

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1073557716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 KIMBALL LN STE 206",
            "address_2": "INFINITE RELATIONSHIPS, LLC",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931786",
            "telephone_number": "608-848-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 KIMBALL LN STE 206",
            "address_2": "INFINITE RELATIONSHIPS, LLC",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931786",
            "telephone_number": "608-848-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "DONALD",
        "middle_name": "D",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1376-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39086600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• First Choice Dental Group, S.C.

• All providers in Verona, WI
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.