Fermo & Tan Fermo L L C

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

28317 Issued in AZ

Legal business name

FERMO & TAN FERMO L L C

Practice address

2545 W Quail Ave
Phoenix, AZ 85027-2418

Phone

(480) 235-5579

Fax

(602) 368-1140

NPI assigned

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

Shirley T Baker

Title

Office Manager

Phone

(602) 380-9644

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Michele Lois Kahn, LCSW

  • Clinical Social Worker
  • Glendale, AZ
  • NPI 1194880799
  NPD (past)
• Ellen G Kelman, PHD

  • Psychologist
  • Scottsdale, AZ
  • NPI 1144244617
  NPD (past)
• Richard A Cross, M.D.

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1336100171
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546128000000",
    "number": "1851583546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5655",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853125655",
            "telephone_number": "480-235-5579",
            "fax_number": "602-368-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 W QUAIL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272418",
            "telephone_number": "480-235-5579",
            "fax_number": "602-368-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERMO & TAN FERMO L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2018-12-30",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-380-9644"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "28317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Ferguson, M.A.
• Valerie Ann Ferguson, D.V.M.
• Virginia Ann Ferguson, FNP
• Xaviera Ferguson
• Sally Ferlmann
• Michael J. Fermo, M.D.
• Christopher Fernald
• Micaela Lara Fernandes, CNM
• Daniel Fernandez Hernandez
• Victor H Fernandez Santiesteban

• Psychiatry Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2018; 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.