Stanley Carl Ferneyhough, PHD, LP

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Practice address

220 N 6TH Ave E
Duluth, MN 55805-1952

Phone

(218) 249-7000

NPI assigned

May 11, 2006

Last updated

Mar 6, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

• Health Care Psychology, PA

  • Clinical Neuropsychologist
  • Forest Lake, MN
  • NPI 1356586457
  Authorized official Same address or phone

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1184674046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LAKE ST N",
            "address_2": "SUITE 320",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252523",
            "telephone_number": "651-464-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N 6TH AVE E",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051952",
            "telephone_number": "218-249-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNEYHOUGH",
        "first_name": "STANLEY",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Felt, MD
• Danyelle R Fenner, MD
• Grace Mae Fenske, DPT
• Ana Margarita Fernandez-Pokorny
• Roberto Joaquin Fernandez, D.O. MPH
• Brianna P Ferrell, PHARMD
• Robert W Field
• Sara A Fijalkiewicz, MSW, LICSW
• Lawrence Filmore
• Joshua Steven Filtz

• Clinical Neuropsychologist in Duluth, MN
• Providers in Duluth, MN by specialty
• Clinical Neuropsychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.