Prudent Psychological Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PRUDENT PSYCHOLOGICAL SERVICES

Practice address

309 E Main St Ste 5
Auburn, WA 98002-5540

Phone

(253) 434-3825

NPI assigned

Aug 30, 2023

Organization subpart

No

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

Authorized official

Name

Ferlicia Fergusson-PrudentNPI 1205317211

Title

Owner

Phone

(253) 987-2424

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ferlicia Fergusson-Prudent, PSYD, LMHC

  • Clinical Psychologist
  • Auburn, WA
  • NPI 1205317211

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1386429082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E MAIN ST STE 5",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025540",
            "telephone_number": "253-434-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E MAIN ST STE 5",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025540",
            "telephone_number": "253-434-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENT PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "FERGUSSON-PRUDENT",
        "authorized_official_first_name": "FERLICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-987-2424"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Joseph Pritchard, RC
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• Provascular Diagnostic and Imaging PLLC
• Brittanie NA Pruden, LMP
• Lenora Burnett Pruzan, LMT
• Public Hospital District #1 of King County
• Christine M Puig, MD
• Shalom Siao Puletu
• Richard N Pulido, MD

• Mental Health Counselor in Auburn, WA
• Providers in Auburn, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.