Individual provider Active NPI

Bill Ferguson, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Auburn, AL
National Provider Identifier
1346641099
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
1921 Issued in AL
Practice address
709 E Glenn Ave
Auburn, AL 36830-5016
Phone
(334) 226-7222
NPI assigned
Sep 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 1921 AL Primary

Addresses

Primary practice location

709 E Glenn Ave
Auburn, AL 36830-5016

Mailing address

709 E Glenn Ave
Auburn, AL 36830-5016
Phone (334) 226-7222

Other identifiers 2

IdentifierTypeStateIssuer
1921OtherALLICENSE NUMBER
511-53809OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 19, 2019 through Jun 19, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1921ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ferguson Psychology, LLC Clinical Child & Adolescent CurrentSince Jan 12, 2025 Accepting new patients
Auburn Psychology Group, LLC Past Accepting new patients

Locations

709 E Glenn Ave
Auburn, AL 36830
Phone (334) 226-7222

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": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1346641099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 E GLENN AVE",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305016",
            "telephone_number": "334-226-7222",
            "fax_number": "334-887-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 E GLENN AVE",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305016",
            "telephone_number": "334-226-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "BILL",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-12",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AL",
            "license": "1921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1921",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-53809",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.