KIM FERGUSON


Address: 380 Copperfield Blvd Ne, Concord, NC 28025-2402
Phone: 7044031800

KIM FERGUSON (NPI# 1154375483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154375483
Entity Type Individual
Full Name KIM FERGUSON
Credential PSYD
Practice Address 380 Copperfield Blvd Ne
Concord
NC 28025-2402
Mailing Address Po Box 19305
Charlotte
NC 28219-9305
Practice Telephone 7044031800
Enumeration Date 2006-05-20
Last Update Date 2020-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 1642 NC Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
100 Medical Park Dr, Suite 310, Concord, NC 280252948 7044032660
923 N 2nd St, Suite 105, Albemarle, NC 280013317 7044031877
5427 Hwy 49 South, Suite 105, Harrisburg, NC 28075 7044547268

Other Providers KIM FERGUSON

NPI Name Taxonomy Address Enumeration
1912169400 Kim Lesley Ferguson Social Worker 377 Chapel Ridge Dr, Apt C, Hazelwood, MO 63042-2671 2008-06-26
1043691470 Kim Ferguson Counselor 4425 Groom Rd, Baker, LA 70714 2015-06-11
1942609334 Kim Ferguson Doula 2820 Niles Rd, Saint Joseph, MI 49085-3338 2014-08-21
1417210089 Kim W. Ferguson Counselor 1423 Field St, Detroit, MI 48214-2321 2012-06-19

Office Location

Street Address 380 COPPERFIELD BLVD NE
City CONCORD
State NC
Zip Code 28025-2402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902889520 Charles J Schmittdiel Psychologist 380 Copperfield Blvd Ne, Concord, NC 28025-2402 2005-11-29
1417319229 Jay Bhimani Psychiatry & Neurology 380 Copperfield Blvd Ne, Concord, NC 28025-2402 2016-03-22
1861874133 Sierra Witte Psychiatry & Neurology 380 Copperfield Blvd Ne, Concord, NC 28025-2402 2015-06-23
1063849420 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 380 Copperfield Blvd Ne, Concord, NC 28025-2402 2013-10-01
1871931857 Ejike Ofoemezie Psychiatry & Neurology 380 Copperfield Blvd Ne, Concord, NC 28025-2402 2013-06-12
1033495502 Kathryn Jay-young Social Worker 380 Copperfield Blvd Ne, Concord, NC 28025-2402 2011-10-28
1134416969 Louis Viamonte Psychiatry & Neurology 380 Copperfield Blvd Ne, Concord, NC 28025-2402 2011-06-30
1740504364 Crystal Hagood Psychiatry & Neurology 380 Copperfield Blvd Ne, Suite A, Concord, NC 28025-2402 2010-03-25
1285969154 Pravesh Basnet Psychiatry & Neurology 380 Copperfield Blvd Ne, Concord, NC 28025-2402 2009-10-12
1134368624 Traci Sweetser Counselor 380 Copperfield Blvd Ne, Concord, NC 28025-2402 2009-02-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053910729 Renewed Mindset Therapeutic Services, Pllc Social Worker 349 Copperfield Blvd Suite L #334, Concord, NC 28025 2020-10-22
1194284380 Carolinas Physicians Network Inc Internal Medicine 610 Alfred Brown Jr. Court, Concord, NC 28025 2019-03-18
1164913596 Damarius Raymond Faggart Counselor 503 Amhurst Drive, Concord, NC 28025 2018-05-22
1437677085 Kathryn Emily Kanauer Counselor 280 Executive Park Dr Ne, Concord, NC 28025 2017-09-05
1649794439 Foster Health & Homecare, LLC Home Health 363 Church Street North, Suite 260-i, Concord, NC 28025 2017-08-02
1326569336 Jessie Leigh Tilley-compton Social Worker 371 Amhurst St Sw, Concord, NC 28025 2017-06-29
1609305663 Sarah Katherine Thompson Licensed Practical Nurse 248 Executive Park Dr, Concord, NC 28025 2017-06-05
1023463098 Kiera Brown Social Worker 219 Lephillip Court, Concord, NC 28025 2016-04-27
1992169445 Brittiny N. Ingram Vanterpool Counselor 250 Branchview Dr Sw, Concord, NC 28025 2016-04-11
1215399852 The Charlotte-mecklenburg Hospital Authority Clinic/Center 840 Warren C. Coleman Blvd, Concord, NC 28025 2016-03-23
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497372197 Sandrina Nabil Kldas Psychologist 1333 Willow Pass Rd Ste 122, Concord, CA 94520-7930 2020-06-29
1598385114 Barbara Pritchard Nash Psychologist 1410-2 Monument St, Concord, MA 01742-5323 2020-04-23
1467926113 Judith Segal Psychologist 844 Sudbury Road, Concord, MA 01742 2019-01-16
1205322005 Gwendolyn Coke Atwood Psychologist 117 Seymour St, Concord, MA 01742-5759 2018-07-03
1356881080 John Fraire Aldava Iv, Phd, Psychology Group P.C. Psychologist 1866 Clayton Rd Ste 103a, Concord, CA 94520-2566 2017-02-28
1619421575 Janine Hill Psychologist 107 Westford Rd, Concord, MA 01742-5220 2016-08-09
1265831739 Julia Wymer Sollenberger Psychologist 45 Walden St, Concord, MA 01742-2533 2014-08-20
1790032183 Kathryn Elizabeth Schoenfeldt Psychologist 79 Washington Ln Se, Concord, NC 28025-3505 2012-08-06
1407184237 Ivonne Monique Klatt Psychologist 2600 Stanwell Dr Ste 220, Concord, CA 94520-4828 2009-12-07
1255561072 Lucina Miranda Psychologist 1866 Clayton Rd Ste 107, Concord, CA 94520 2009-07-15
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Competitor

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City CONCORD
Zip Code 28025

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Dataset Information

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.

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