Cornelius Furgueson, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS-008444-L Issued in PA

Practice address

1801 Vine St
Room 149-MG
Philadelphia, PA 19103-1117

Phone

(215) 868-5160

Fax

(215) 546-9564

NPI assigned

Jan 27, 2007

Last updated

Jan 22, 2008By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1225184468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 BAINBRIDGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461430",
            "telephone_number": "215-868-5160",
            "fax_number": "215-546-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 VINE ST",
            "address_2": "ROOM 149-MG",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031117",
            "telephone_number": "215-868-5160",
            "fax_number": "215-546-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURGUESON",
        "first_name": "CORNELIUS",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS-008444-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Fung, M.D.
• Irene Ngar Yee Fung, M.D.
• Michael W Fung, MD
• Shirley M Fung, MD
• Margo Funke
• Frances Kathleen Furia, MD
• Kristina Furia, MS, LPC
• Gregg Furie, MD
• Molly Ann Furin, M.D.
• Patricia Furlan

• Clinical Neuropsychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Neuropsychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.