Individual provider Active NPI

Aileen Marleny Mendoza-Fernandez, PSY.D

  • Clinical Psychologist
  • Coral Gables, FL
National Provider Identifier
1003058470
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7893 Issued in FL
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

Updated by the provider on Apr 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Health Psychology Group of South Florida, PA Clinical PastSince Dec 1, 2010 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.

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.

Verify at the official NPI Registry.