Carson Fuhrman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810007622 Issued in VA

Practice address

1210 Progressive Dr Ste 101
Chesapeake, VA 23320-2849

Phone

(757) 420-0530

NPI assigned

Oct 11, 2021

Last updated

Oct 11, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1962164566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 PROGRESSIVE DR STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 PROGRESSIVE DR STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202849",
            "telephone_number": "757-420-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUHRMAN",
        "first_name": "CARSON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810007622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Frierdich
• Glenn William Fritz, DDS
• Brett Frommer, DO
• Kenneth Frumkin, M.D.
• Lori-Ann Fuehrer
• Greg Richardson Fuller, DO
• Kelly Sue Fuller, L.P.C.
• Kim Kevin Fuller, D.C.
• Kimberly M Fuller, NP
• Nashai Funches

• Clinical Psychologist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.