Individual provider Active NPI

Mark Sergio Ferreira, PSYD

  • Clinical Psychologist
  • Yardley, PA
National Provider Identifier
1154859478
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS018274 Issued in PA
Practice address
301 Oxford Valley Rd Ste 1803a
Yardley, PA 19067-7725
Phone
(267) 394-7805
NPI assigned
May 31, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 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 PS018274 PA Primary

Addresses

Primary practice location

301 Oxford Valley Rd Ste 1803a
Yardley, PA 19067-7725

Mailing address

301 Oxford Valley Rd Ste 1803a
Yardley, PA 19067-7725
Phone (267) 394-7805

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

State licenses

LicenseStateTypeSpecialty
PS018274PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Anxiety Treatment Center, LLC Clinical Current Accepting new patients
Anxiety & Agoraphobia Treatment Center, PC Clinical PastSince Jul 1, 2022 Accepting new patients

Locations

301 Oxford Valley Rd
Ste 1803A
Yardley, PA 19067
Phone (215) 754-5050

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1154859478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD STE 1803A",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677725",
            "telephone_number": "267-394-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD STE 1803A",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677725",
            "telephone_number": "267-394-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREIRA",
        "first_name": "MARK",
        "middle_name": "SERGIO",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.