Active NPI
Aileen Marleny Mendoza-Fernandez, PSY.D
- Clinical Psychologist
- Coral Gables, FL
National Provider Identifier
1003058470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7893
- Practice address
- 2655 S Le Jeune Rd
#530
Coral Gables, FL 33134-5832 - Phone
- (305) 297-9445
- Fax
- (305) 269-3989
- NPI assigned
- Apr 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7893 | FL | Primary |
Addresses
Primary practice location
2655 S Le Jeune Rd
#530
Coral Gables, FL 33134-5832
Mailing address
94 SW 81St Ave
Miami, FL 33144-2128
Phone (305) 297-9445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Psychology Group of South Florida, PA | Clinical | Past | Accepting new patients |
| Linnette Castillo, Psy.D. & Associates | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- South Miami, FL
- NPI 1720309438
-
- Clinical Psychologist
- Miami, FL
- NPI 1104151521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1003058470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 SW 81ST AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442128",
"telephone_number": "305-297-9445",
"fax_number": "305-269-3989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 S LE JEUNE RD",
"address_2": "#530",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331345832",
"telephone_number": "305-297-9445",
"fax_number": "305-269-3989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA-FERNANDEZ",
"first_name": "AILEEN",
"middle_name": "MARLENY",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.