DR. CARISSA Y. FERGUSON-THOMAS (NPI# 1669533444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669533444 |
| Entity Type | Individual |
| Full Name | DR. CARISSA Y. FERGUSON-THOMAS |
| Credential | MSW, MS, PSY.D. |
| Practice Address |
110 Marter Ave Suite 201 Moorestown NJ 08057-3124 |
| Practice Telephone | 8567784330 |
| Practice Fax Number | 8567784408 |
| Mailing Telephone | 8567784330 |
| Mailing Fax Number | 8567784408 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2017-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
5528 | NJ | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
CW014630 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1215470174 | 05 |
| Street Address |
110 MARTER AVE SUITE 201 |
| City | MOORESTOWN |
| State | NJ |
| Zip Code | 08057-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556470 | Phyllis Horning Detwiler | Dentist | 110 Marter Ave, Suite 204, Moorestown, NJ 08057-3124 | 2005-05-23 |
| 1801335294 | Wendy Preihs | Counselor | 110 Marter Ave, Suite 201, Moorestown, NJ 08057-3124 | 2017-02-17 |
| 1215470174 | Delaware Valley Psychological Services, LLC. | Psychologist | 110 Marter Ave, Suite 201, Moorestown, NJ 08057-3124 | 2016-11-28 |
| 1093062002 | Daniel Schaeffler | Dentist | 110 Marter Ave, Suite 204, Moorestown, NJ 08057-3124 | 2012-08-08 |
| 1689933350 | Steven Horvitz, D.o., Family Medicine, P.C. | Family Medicine | 110 Marter Ave, Suite 408, Moorestown, NJ 08057-3124 | 2012-05-15 |
| 1508123886 | Kathleen Ann Milano | Psychologist | 110 Marter Ave, Suite 206, Moorestown, NJ 08057-3124 | 2012-04-11 |
| 1710291307 | Wai Ben Chan | Family Medicine | 110 Marter Ave, Moorestown, NJ 08057-3124 | 2010-08-06 |
| 1588985188 | Monique Kamaria Chheda | Dermatology | 110 Marter Ave, Suite 102, Moorestown, NJ 08057-3124 | 2010-06-17 |
| 1912237793 | Moorestown Dental Associates, LLC | Dentist | 110 Marter Ave, Suite 204, Moorestown, NJ 08057-3124 | 2009-12-30 |
| 1225212970 | Cynthia Biddle Coyne | Physical Therapist | 110 Marter Ave, Building 500, Suite 504, Moorestown, NJ 08057-3124 | 2007-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209074 | Raquel Maria Screnci | Physical Therapy Assistant | Powerback, 212 Marter Avenue, Moorestown, NJ 08057 | 2020-03-06 |
| 1801363544 | Acts Signature Community Services, Inc. | Internal Medicine | 309 Bridgeboro Road, Moorestown, NJ 08057 | 2018-10-31 |
| 1427547447 | Bpt Physical Therapy LLC | Clinic/Center | 341 New Albany Rd Ste 120, Moorestown, NJ 08057 | 2018-05-04 |
| 1912416363 | Gold Bear Shuttle | Bus | 300 Mill Street, Moorestown, NJ 08057 | 2017-09-28 |
| 1811422595 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 67 Janeway Ave, Delran, NJ 08057 | 2017-05-01 |
| 1972050789 | Therapeutic Alternatives | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 236 West Route 38, Suite 210, Moorestown, NJ 08057 | 2016-09-09 |
| 1740653088 | Cathleen Wright | Acupuncturist | 505 South Lenola Road, Suite 121, Moorestown, NJ 08057 | 2015-11-09 |
| 1720469521 | Alexander's Vision Community Services, LLC | Supports Brokerage | 118 Oakmont Drive, Moorestown, NJ 08057 | 2015-06-17 |
| 1588045835 | Delta Community Supports, Inc. | Day Training, Developmentally Disabled Services | 740a Bellevue Ave, Hammonton, NJ 08057 | 2015-06-12 |
| 1164818134 | Rebecca Lynn Martz | Family Medicine | 740 Marne Hwy Ste 206, Moorestown, NJ 08057 | 2015-04-07 |
| Find all providers in zip 08057 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356889919 | Meryl Udell | Psychologist | 110 Marter Ave Ste 201, Moorestown, NJ 08057-3124 | 2017-02-03 |
| 1225329493 | Robert Vandercook | Psychologist | 610 Kings Hwy, Moorestown, NJ 08057-2620 | 2011-04-22 |
| 1245433101 | Elliott Harold Schreiber | Psychologist | 708 Camden Ave, Moorestown, NJ 08057 | 2007-06-07 |
| 1578679361 | Miriam Kazansky Horn | Psychologist | 720 E Main St Ste 2t, Moorestown, NJ 08057 | 2006-08-22 |
| 1033130448 | Michael Robert Plumeri | Psychologist | 770 E Main St, Suite 2-e, Moorestown, NJ 08057-3073 | 2006-07-21 |
| 1659749703 | Frank J Schwoeri | Psychologist | 720 E Main St, Ste. 1a, Moorestown, NJ 08057-3058 | 2015-09-07 |
| 1730563701 | Joan Beth Cooper | Psychologist | 302 N Washington Ave, Suite 202 West, Moorestown, NJ 08057-2448 | 2015-07-19 |
| 1528466901 | Kelly Moore | Psychologist | 128 Bortons Landing Rd, Suite 2, Moorestown, NJ 08057-3011 | 2014-12-16 |
| 1508123886 | Kathleen Ann Milano | Psychologist | 110 Marter Ave, Suite 206, Moorestown, NJ 08057-3124 | 2012-04-11 |
| 1225208374 | Dakhari Psychological Services LLC | Psychologist | 128 Bortons Landing Rd, Suite 2, Moorestown, NJ 08057-3011 | 2008-03-05 |
| Find all providers in MOORESTOWN | ||||
| City | MOORESTOWN |
| Zip Code | 08057 |
Please comment or provide details below to improve the information on DR. CARISSA Y. FERGUSON-THOMAS.
| 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.