Abigal Clinton Ferguson

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY24345 Issued in CA

Practice address

10020 Church St
Truckee, CA 96161-0219

Phone

(415) 917-0536

NPI assigned

Sep 6, 2007

Sex

Female

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

State licenses

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1275728826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2581",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961602581",
            "telephone_number": "415-917-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 CHURCH ST",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610219",
            "telephone_number": "415-917-0536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1026 Oak Grove Rd",
            "address_2": "Suite 11",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945183289",
            "country_code": "US",
            "telephone_number": "925-646-5665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "ABIGAL",
        "middle_name": "CLINTON",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY24345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Crystal Engleman, MSW, LCSW, LICSW
• Steven Kent Enright, MD
• Brian D Evans, M.D.
• James D Evans, OD
• Melody Rey Farnham
• Raina Angelina Ferran, LAC
• Barbara Ferrero, L.AC
• Sierra Ferriter, MSW, LSWAIC
• Damien Fertitta, D.C.
• Kiley Field, MS, RD, CSSD

• Psychologist in Truckee, CA
• Providers in Truckee, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.