Carolyn Ferreira, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2550 Issued in OR

Practice address

300 SE Reed Market Rd
Suite 260
Bend, OR 97702-2237

Phone

(541) 213-8700

Fax

(541) 631-5106

NPI assigned

Apr 20, 2009

Last updated

Apr 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1730323874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SE REED MARKET RD",
            "address_2": "SUITE 260",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022237",
            "telephone_number": "541-213-8700",
            "fax_number": "541-631-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SE REED MARKET RD",
            "address_2": "SUITE 260",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022237",
            "telephone_number": "541-213-8700",
            "fax_number": "541-631-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREIRA",
        "first_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca L Ferguson, D.O.
• Dilynn Fernbaugh, RN, BSN, CNOR, RNFA
• Helen Jean Feroli, LPC, CADC III
• Daria Yolanda Ferrara, R.N.
• Amanda C Ferrari, D.P.T.
• Hannah Webster Ferrie
• Monty Jay Fetch, MA COUNSELING PSYCH
• Kevin Michael Fickenscher Sr., M.D.
• Laura Beth Fieberg, LMT
• Nathan Fiedler, LPC

• Clinical Psychologist in Bend, OR
• Providers in Bend, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.