Active NPI
Marsha Elaine Ferrick, PH.D, BCC
- Clinical Psychologist
- Phoenix, AZ
National Provider Identifier
1124146519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4858
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4858 | AZ | MD | Occupational 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.