Individual provider Active NPI

Erin Kelly Ferma, PH.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1124038153
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 20990 Issued in CA
Practice address
614 5TH Ave Ste a
San Diego, CA 92101-6964
Phone
(619) 231-2668
Fax
(619) 231-4133
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 20990 CA Primary

Addresses

Primary practice location

614 5TH Ave Ste a
San Diego, CA 92101-6964

Mailing address

614 5TH Ave Ste a
San Diego, CA 92101-6964
Phone (619) 231-2668

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 20990CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124038153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 5TH AVE STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016964",
            "telephone_number": "619-231-2668",
            "fax_number": "619-231-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 5TH AVE STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016964",
            "telephone_number": "619-231-2668",
            "fax_number": "619-231-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERMA",
        "first_name": "ERIN",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 20990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.