Active NPI
Fran Diane Ferder, PH.D.
- Clinical Psychologist
- Gleneden Beach, OR
National Provider Identifier
1487832150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0928
- Practice address
- 7755 Hwy 101 Suite A2A
Gleneden Beach, OR 97388 - Phone
- (541) 764-2980
- NPI assigned
- Feb 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0928 | OR | Primary |
| Clinical Psychologist | 103TC0700X | 1111 | WA |
Addresses
Primary practice location
7755 Hwy 101 Suite A2A
Gleneden Beach, OR 97388
Mailing address
PO Box 69
Gleneden Beach, OR 97388-0069
Phone (541) 764-2980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0928 | OR | MD | Clinical Psychologist |
| 1111 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465689600000",
"number": "1487832150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69",
"city": "GLENEDEN BEACH",
"state": "OR",
"postal_code": "973880069",
"telephone_number": "541-764-2980",
"fax_number": "541-764-2982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7755 HWY 101 SUITE A2A",
"city": "GLENEDEN BEACH",
"state": "OR",
"postal_code": "97388",
"telephone_number": "541-764-2980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERDER",
"first_name": "FRAN",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-05",
"last_updated": "2016-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "0928",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "1111",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gleneden Beach, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.