Individual provider Active NPI

Marsha Elaine Ferrick, PH.D, BCC

  • Clinical Psychologist
  • Phoenix, AZ
National Provider Identifier
1124146519
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4858 Issued in AZ
Practice address
34406 N 27TH Dr
Ste 140
Phoenix, AZ 85085-6079
Phone
(216) 780-5068
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 4858 AZ Primary

Addresses

Primary practice location

34406 N 27TH Dr
Ste 140
Phoenix, AZ 85085-6079

Mailing address

PO Box 203
Black Canyon City, AZ 85324-0203
Phone (216) 780-5068

Other practice location 1

23240 Chagrin Blvd
Bldg IV, Ste 270
Beachwood, OH 44122-5404
Phone (216) 765-0500 ext. 414

Other names 1

  • Dr. Marsha Elaine Ferrick Heiden Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171207000972 AZ Practitioner - Psychologist Billing Independently 4880875269 Practice locations: Black Canyon City, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

35190 S April Dr
Black Canyon City, AZ 85324-8880
Phone (216) 780-5068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4858AZMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124146519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "BLACK CANYON CITY",
            "state": "AZ",
            "postal_code": "853240203",
            "telephone_number": "216-780-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34406 N 27TH DR",
            "address_2": "STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856079",
            "telephone_number": "216-780-5068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23240 Chagrin Blvd",
            "address_2": "Bldg IV, Ste 270",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441225404",
            "country_code": "US",
            "telephone_number": "216-765-0500 x414",
            "fax_number": "216-765-0521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRICK",
        "first_name": "MARSHA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PH.D, BCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARSHA",
            "last_name": "FERRICK HEIDEN",
            "middle_name": "ELAINE",
            "prefix": "DR.",
            "credential": "PH.D, BCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.