NPIMap

Organization Active NPI

Fvatp Integrated Services, LLC

  • Clinical Psychologist
  • Appleton, WI
National Provider Identifier
1366362055
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
FVATP INTEGRATED SERVICES, LLC
Practice address
4 N Systems Dr
Appleton, WI 54914-6402
Phone
(920) 205-0475
NPI assigned
Jul 21, 2026
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Staci Ferg, BCBANPI 1922451657
Title
Owner
Phone
(920) 205-0475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

4 N Systems Dr
Appleton, WI 54914-6402

Mailing address

4 N Systems Dr
Appleton, WI 54914-6402
Phone (920) 205-0475

National Provider Directory

National Provider Directory

Locations

4 N Systems Dr
Appleton, WI 54914
Phone (920) 205-0475

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1366362055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 N SYSTEMS DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549146402",
            "telephone_number": "920-205-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 N SYSTEMS DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549146402",
            "telephone_number": "920-205-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FVATP INTEGRATED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "FERG",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-205-0475",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.