Active NPI
Courtney Anne Ferenz, PSY.D.
- Clinical Psychologist
- Springfield, VA
National Provider Identifier
1568771665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810004192
- Practice address
- 8519 Tuttle Rd
Springfield, VA 22152-1508 - Phone
- (703) 451-8041
- Fax
- (703) 569-5365
- NPI assigned
- Oct 7, 2010
- Last updated
- Oct 7, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 0810004192 | VA | Primary |
| Clinical Psychologist | 103TC0700X | PSY1000643 | DC |
Addresses
Primary practice location
8519 Tuttle Rd
Springfield, VA 22152-1508
Mailing address
2601 N Van Dorn St
Apt 101
Alexandria, VA 22302-1613
Phone (202) 492-7949
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1000643 | DC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1568771665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 N VAN DORN ST",
"address_2": "APT 101",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223021613",
"telephone_number": "202-492-7949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8519 TUTTLE RD",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221521508",
"telephone_number": "703-451-8041",
"fax_number": "703-569-5365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERENZ",
"first_name": "COURTNEY",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-07",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004192",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1000643",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.