Individual provider Active NPI

Barbara Brennan Ferguson, PHD APN C

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Summit, NJ
National Provider Identifier
1326058595
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
26NC05955200 Issued in NJ
Practice address
99 Beauvoir Avenue
Summit, NJ 07902-3533
Phone
(918) 522-4882
Fax
(908) 522-5269
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 26NC05955200 NJ Primary

Addresses

Primary practice location

99 Beauvoir Avenue
Summit, NJ 07902-3533

Mailing address

99 Beauvoir Avenue
Summit, NJ 07902-3533
Phone (918) 522-4882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070417000585 NJ Practitioner - Certified Clinical Nurse Specialist (CNS) 0143325365 Practice locations: Mountain Lakes, NJ

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

420 Boulevard
Suite 208
Mountain Lakes, NJ 07046-1733
Phone (973) 402-6322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
26NC05955200NJMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
T. K. Kelso, Psy.D, LLC Past Accepting new patients
Specialty Care of Practice Associates,PA Past Accepting new patients
Practice Associates,Inc Past Accepting new patients

Organizations & group practices 3

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1326058595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 BEAUVOIR AVENUE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079023533",
            "telephone_number": "918-522-4882",
            "fax_number": "908-522-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BEAUVOIR AVENUE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079023533",
            "telephone_number": "918-522-4882",
            "fax_number": "908-522-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "BARBARA",
        "middle_name": "BRENNAN",
        "credential": "PHD APN C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NC05955200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.