Organization Active NPI

Sheryl a. Ferguson, Psy.D., P.a.

  • Clinical Psychologist
  • Plantation, FL
National Provider Identifier
1982802781
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6736 Issued in FL
Legal business name
SHERYL A. FERGUSON, PSY.D., P.A.
Practice address
300 S Pine Island Rd
Suite 215
Plantation, FL 33324-2673
Phone
(954) 476-0255
Fax
(954) 746-9555
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sheryl A Ferguson, PSY.D.NPI 1881778934
Title
President- Psychologist
Phone
(954) 476-0255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY6736 FL Primary

Addresses

Primary practice location

300 S Pine Island Rd
Suite 215
Plantation, FL 33324-2673

Mailing address

300 S Pine Island Rd
Suite 215
Plantation, FL 33324-2673
Phone (954) 476-0255

Other names 1

  • The Assessment, Counseling & Development Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221209000460 FL Part B Supplier - Clinic/Group Practice 2961634571 Receives reassigned benefits from 1 practitioner
Practice locations: Melbourne, FL

National Provider Directory

National Provider Directory

Locations

123 NW 13th St
Ste 21415
Boca Raton, FL 33432
Phone (954) 476-0255

1040 Bayview Dr
Ste 517
Ft Lauderdale, FL 33304
Phone (954) 461-4111

3270 Suntree Blvd
Ste 1101
Melbourne, FL 32940
Phone (954) 476-0255

300 S Pine Island Rd
Ste 215
Plantation, FL 33324
Phone (954) 476-0255

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982802781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S PINE ISLAND RD",
            "address_2": "SUITE 215",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242673",
            "telephone_number": "954-476-0255",
            "fax_number": "954-746-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PINE ISLAND RD",
            "address_2": "SUITE 215",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242673",
            "telephone_number": "954-476-0255",
            "fax_number": "954-746-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERYL A. FERGUSON, PSY.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT- PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-476-0255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Assessment, Counseling & Development Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.