NPIMap

Organization Active NPI

Ferrell and Associates, Inc.

  • Clinical Psychologist
  • Wilkes Barre, PA
National Provider Identifier
1700969185
Registry record updated Mar 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS003591L Issued in PA
Legal business name
FERRELL AND ASSOCIATES, INC.
Practice address
111 N Franklin St
Wilkes Barre, PA 18701-1401
Phone
(570) 826-0999
Fax
(570) 208-0603
NPI assigned
Oct 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2010

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

Authorized official

Name
Dr. Keith Ferrell, LP, CAC, SAP
Title
President
Phone
(570) 826-0999

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PS003591L PA Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X SW005118E PA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CW001159L PA

Addresses

Primary practice location

111 N Franklin St
Wilkes Barre, PA 18701-1401

Mailing address

131 Laird St
Wilkes Barre, PA 18705-3818
Phone (570) 826-0999

National Provider Directory

National Provider Directory

Locations

111 N Franklin St
Wilkes Barre, PA 18701
Phone (570) 826-0999

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269043200000",
    "number": "1700969185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 LAIRD ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187053818",
            "telephone_number": "570-826-0999",
            "fax_number": "570-208-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N FRANKLIN ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187011401",
            "telephone_number": "570-826-0999",
            "fax_number": "570-208-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERRELL AND ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-22",
        "last_updated": "2010-03-20",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-826-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LP, CAC, SAP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS003591L",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW005118E",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW001159L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.