Individual provider Active NPI

James Michael Ferro, PSYD

  • Clinical Neuropsychologist
  • Melbourne, FL
National Provider Identifier
1477735967
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY7627 Issued in FL
Practice address
6767 N Wickham Rd
Suite 306
Melbourne, FL 32940-2031
Phone
(321) 751-1925
Fax
(321) 751-9261
NPI assigned
Nov 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY7627 FL Primary

Addresses

Primary practice location

6767 N Wickham Rd
Suite 306
Melbourne, FL 32940-2031

Mailing address

6767 N Wickham Rd
Suite 306
Melbourne, FL 32940-2031
Phone (321) 751-1925

Other identifiers 1

IdentifierTypeStateIssuer
AM141ZOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080908000513 FL Practitioner - Clinical Psychologist 8123194552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychology Associates of Brevard PLCGroup PAC ID 9638078025, 7 clinicians

Practice addresses (Care Compare)

6767 N Wickham Rd
Suite 306
Melbourne, FL 32940-2025
Phone (321) 751-1925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Associates of Brevard PLC Clinical Neuropsychologist CurrentSince Jan 1, 2012 Accepting new patients

Locations

6767 N Wickham Rd
Ste 306
Melbourne, FL 32940
Phone (321) 751-1925

Organizations & group practices 1

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": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1477735967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 N WICKHAM RD",
            "address_2": "SUITE 306",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402031",
            "telephone_number": "321-751-1925",
            "fax_number": "321-751-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 N WICKHAM RD",
            "address_2": "SUITE 306",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402031",
            "telephone_number": "321-751-1925",
            "fax_number": "321-751-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRO",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY7627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AM141Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.