Laurie Ferguson, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20842 Issued in CA

Practice address

9700 El Camino Real
Suite #303
Atascadero, CA 93422-5569

Phone

(805) 610-8694

Fax

(805) 464-4355

NPI assigned

Sep 6, 2011

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 21, 2020 through Jan 21, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2011.

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1619258514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1805",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934231805",
            "telephone_number": "805-610-8694",
            "fax_number": "805-464-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 EL CAMINO REAL",
            "address_2": "SUITE #303",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225569",
            "telephone_number": "805-610-8694",
            "fax_number": "805-464-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "LAURIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Fargo, MSW
• Omar Farooqi, M.D.
• Charles Kevin Farr, D.M.D.
• Luis Esteban Feliu, D.C.
• David Karl Fennell, MD
• Maria Guadalupe Figueroa Bautista
• Bethany S Fisher, NPC
• Gary Bruce Fisher, RPH
• Cynthia A Fletcher
• Shanna Flinders-Flaten

• All providers in Atascadero, CA
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.