TARA FERGUSON, PHD, PC (NPI# 1144571639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144571639 |
| Entity Type | Organization |
| Organization Name | TARA FERGUSON, PHD, PC |
| Practice Address |
5004 Oleander Dr Wilmington NC 28403 |
| Mailing Address |
5004 Oleander Dr Wilmington NC 28403-7015 |
| Practice Telephone | 9104441837 |
| Practice Fax Number | 9109391407 |
| Mailing Telephone | 9104441837 |
| Mailing Fax Number | 9109391407 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2018-06-22 |
| Authorized Official Name | DR. TARA FERGUSON (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 9104441837 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
3945 | NC | Behavioral Health & Social Service Providers |
| Street Address |
5004 OLEANDER DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063648731 | Tara M. Ferguson | Psychologist | 5004 Oleander Dr, Wilmington, NC 28403-7015 | 2009-06-08 |
| 1083214639 | Staci Tokarz | Counselor | 5004 Oleander Dr, Wilmington, NC 28403-7015 | 2020-10-31 |
| 1326603259 | Yaa Kobe Campbell | Counselor | 5004 Oleander Dr, Wilmington, NC 28403-7015 | 2019-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376168351 | Vanessa Frierson Freeman | Psychologist | 1248 Kynlyn Dr, Wilmington, DE 19809-2419 | 2020-06-15 |
| 1063648731 | Tara M. Ferguson | Psychologist | 5004 Oleander Dr, Wilmington, NC 28403-7015 | 2009-06-08 |
| 1629022884 | Yael Gold | Psychologist | 5201 Oleander Dr, Wilmington, NC 28403-7020 | 2006-05-20 |
| 1164490900 | Phillip M. Sharp | Psychologist | 219 Racine Dr Ste A3, Wilmington, NC 28403 | 2006-03-09 |
| 1497267413 | Christopher G Rice | Psychologist | 1311 Brandywine Blvd, Wilmington, DE 19809-2306 | 2017-10-31 |
| 1235664889 | Allyson Renee Matt | Psychologist | 2450 Delaney Ave, Wilmington, NC 28403-6062 | 2017-04-20 |
| 1275916579 | David Mandelbaum, Ph.d. | Psychologist | 1301 N Harrison St, 101, Wilmington, DE 19806-3128 | 2015-07-04 |
| 1477869261 | Lauren Rhoades | Psychologist | 1812 Newport Gap Pike, Wilmington, DE 19808-6179 | 2010-08-31 |
| 1679753578 | Mark P. Carney Psy.d. Inc | Psychologist | 1601 Concord Pike, Suite#50, Wilmington, DE 19803-3612 | 2007-11-07 |
| 1407063530 | Richard Craig Williams | Psychologist | 1200 N Van Buren St, Wilmington, DE 19806-4313 | 2007-05-17 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on TARA FERGUSON, PHD, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.