Ariel Ferguson, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.011006 Issued in IL

Practice address

7055 Veterans Blvd Ste C
Burr Ridge, IL 60527-5641

Phone

(312) 529-0616

NPI assigned

Aug 9, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 22, 2023 through Nov 22, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reflect Psychological Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burr Ridge, IL
  • NPI 1720866619
  NPD Authorized official

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1932837879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 VETERANS BLVD STE C",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275641",
            "telephone_number": "312-529-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 VETERANS BLVD STE C",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275641",
            "telephone_number": "312-529-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "ARIEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.011006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Chiropractic of Burr Ridge, P.C.
• Jeanne Fangman, P.T.
• Matthew Farmer
• Murray J Favus, MD
• Margaret A Feller, APN
• Jordan Fiedler, OT
• Alan Fink, PT
• Firefighter Behavioral Health of Illinois LLC
• Focused Care Clinicians
• Kenneth Adam Fogel, PSY D

• Clinical Psychologist in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.