NPIMap

Organization Active NPI

Jean Ferguson, Licensed Psychologist, LLC

  • Psychologist
  • Lancaster, PA
National Provider Identifier
1124465448
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS 006249-L
Legal business name
JEAN FERGUSON, LICENSED PSYCHOLOGIST, LLC
Practice address
719 Olde Hickory Rd
Suite a
Lancaster, PA 17601-4985
Phone
(717) 314-9171
NPI assigned
May 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Jean Ferguson, MSNPI 1093766123
Title
Managing Member
Phone
(717) 314-9171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PS 006249-L Primary

Addresses

Primary practice location

719 Olde Hickory Rd
Suite a
Lancaster, PA 17601-4985

Mailing address

22 Red Leaf LN
Lancaster, PA 17602-7000
Phone (717) 314-9171

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1124465448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 RED LEAF LN",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176027000",
            "telephone_number": "717-314-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 OLDE HICKORY RD",
            "address_2": "SUITE A",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014985",
            "telephone_number": "717-314-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN FERGUSON, LICENSED PSYCHOLOGIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "717-314-9171",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": "PS 006249-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.