Individual provider Active NPI

Marie Grace Ferber, MD

  • Psychiatry Physician
  • Brookfield, WI
National Provider Identifier
1235234709
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35823020 Issued in WI
Practice address
12760 W North Ave
Building a
Brookfield, WI 53005-4628
Phone
(262) 439-5500
Fax
(866) 439-5221
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35823020 WI Primary

Addresses

Primary practice location

12760 W North Ave
Building a
Brookfield, WI 53005-4628

Mailing address

12760 W North Ave
Building a
Brookfield, WI 53005-4628
Phone (262) 439-5500

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35823020WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Credence Therapy Associates Inc PastSince Aug 1, 2002 Accepting new patients
Milwaukee Psychiatric Physicians Chartered Psychiatry PastSince Aug 1, 2019 Accepting new patients

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1235234709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12760 W NORTH AVE",
            "address_2": "BUILDING A",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054628",
            "telephone_number": "262-439-5500",
            "fax_number": "866-439-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 W NORTH AVE",
            "address_2": "BUILDING A",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054628",
            "telephone_number": "262-439-5500",
            "fax_number": "866-439-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERBER",
        "first_name": "MARIE",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "35823020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.