Active NPI
Joseph Glenn Ferguson, PHD
- Clinical Psychologist
- Santa Fe, NM
National Provider Identifier
1255585154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1401
- Practice address
- 2232 Wilderness Arroyo
Santa Fe, NM 87505-5922 - Phone
- (505) 913-7159
- NPI assigned
- Nov 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 22260 | CA | |
| Clinical Psychologist | 103TC0700X | 1401 | NM | Primary |
Addresses
Primary practice location
2232 Wilderness Arroyo
Santa Fe, NM 87505-5922
Mailing address
2232 Wilderness Arroyo
Santa Fe, NM 87505-5922
Phone (505) 913-7159
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22260 | CA | MD | Clinical Psychologist |
| 1401 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494201600000",
"number": "1255585154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2232 WILDERNESS ARROYO",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875055922",
"telephone_number": "505-913-7159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2232 WILDERNESS ARROYO",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875055922",
"telephone_number": "505-913-7159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "JOSEPH",
"middle_name": "GLENN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-05",
"last_updated": "2017-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "22260",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "1401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.