Individual provider Active NPI

Alexis Ferguson, PSY.D.

  • Psychologist
  • Fairfield, NJ
National Provider Identifier
1508638800
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00730100 Issued in NJ
Practice address
310 Passaic Avenue, Building B, Suite 301
Fairfield, NJ 07004-2530
Phone
(973) 832-7777
Fax
(862) 702-8273
NPI assigned
Oct 30, 2023
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00730100 NJ Primary

Addresses

Primary practice location

310 Passaic Avenue, Building B, Suite 301
Fairfield, NJ 07004-2530

Mailing address

310 Passaic Avenue, Building B, Suite 301
Fairfield, NJ 07004-2530
Phone (973) 832-7777

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

671 Hoes LN W
RM C205
Piscataway, NJ 08854-8021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35SI00730100NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Assessments and Psychological Services, LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

310 Passaic Ave
Ste 301
Fairfield, NJ 07004
Phone (973) 832-7777

7 Industrial Rd
Ste 202
Pequannock, NJ 07440
Phone (973) 832-7777

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1508638800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 PASSAIC AVENUE, BUILDING B, SUITE 301",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042530",
            "telephone_number": "973-832-7777",
            "fax_number": "862-702-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 PASSAIC AVENUE, BUILDING B, SUITE 301",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042530",
            "telephone_number": "973-832-7777",
            "fax_number": "862-702-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-08-21",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00730100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

Verify at the official NPI Registry.