Organization Active NPI

Tara Ferguson, PHD, PC

  • Counseling Psychologist
  • Wilmington, NC
National Provider Identifier
1144571639
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3945 Issued in NC
Legal business name
TARA FERGUSON, PHD, PC
Practice address
5004 Oleander Dr
Wilmington, NC 28403
Phone
(910) 444-1837
Fax
(910) 939-1407
NPI assigned
Sep 25, 2012
Last updated
Jun 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Authorized official

Name
Dr. Tara Ferguson, PH.D.NPI 1063648731
Title
Licensed Psychologist
Phone
(910) 444-1837

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
Counseling Psychologist 103TC1900X 3945 NC Primary

Addresses

Primary practice location

5004 Oleander Dr
Wilmington, NC 28403

Mailing address

5004 Oleander Dr
Wilmington, NC 28403-7015
Phone (910) 444-1837

National Provider Directory

National Provider Directory

Locations

5004 Oleander Dr
Wilmington, NC 28403
Phone (910) 444-1837

5015 Oleander Dr
Wilmington, NC 28403
Phone (910) 408-2625

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1144571639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037015",
            "telephone_number": "910-444-1837",
            "fax_number": "910-939-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "910-444-1837",
            "fax_number": "910-939-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA FERGUSON, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "910-444-1837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "3945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.