William James Fernan

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS002818 Issued in PA

Practice address

70 2ND St
Suite a
Brookville, PA 15825-1509

Phone

(814) 849-2844

Fax

(814) 849-3425

NPI assigned

Jan 3, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Clarion Family Therapy, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clarion, PA
  • NPI 1366863870
  NPD (past)
• Family Therapy Services Inc.

  • Community/Behavioral Health Agency
  • Brookville, PA
  • NPI 1942405576
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1750438875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 2ND ST",
            "address_2": "SUITE A",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251509",
            "telephone_number": "814-849-2844",
            "fax_number": "814-849-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 2ND ST",
            "address_2": "SUITE A",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251509",
            "telephone_number": "814-849-2844",
            "fax_number": "814-849-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNAN",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS002818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009170820001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dubois Regional Medical Center - Penn Highlands Charles Medical Center (Penn Highlands DuBois)
• Dubois Regional Medical Group, PC
• Janice D Dunkle, O.D.
• Chelsea M Dunn, OD
• Family Therapy Services Inc.
• Jason R Fetterman, D.C.
• Norman Guy Furgiuele, MSW LCSW
• Brandon Michael Galasso I, PT, DPT
• Sarah Marie Gallagher, MS, CCC-SLP
• Kumaresan Ganabathi, M.D.

• Psychologist in Brookville, PA
• Providers in Brookville, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.