Jonathan Fernandez, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3872 Issued in PR

Practice address

1207 Calle Marginal Villamar
Carolina, PR 00979-6345

Phone

(787) 539-0404

Fax

(787) 945-7128

NPI assigned

Jan 31, 2011

Last updated

Jun 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mind Bridge Clinical Services

  • Clinical Psychologist
  • Caguas, PR
  • NPI 1740115641
  NPD Authorized official
• Innovative Psychiatric Group, PSC

  • Psychiatry Physician
  • Caguas, PR
  • NPI 1851362735
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1023314614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 CALLE MARGINAL VILLAMAR",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009796345",
            "telephone_number": "787-539-0404",
            "fax_number": "787-945-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 CALLE MARGINAL VILLAMAR",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009796345",
            "telephone_number": "787-539-0404",
            "fax_number": "787-945-7128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "BF-4",
            "address_2": "Urb. Bairoa Calle La Pinta",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-961-4841",
            "fax_number": "787-961-3920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Ar25 Calle 61",
            "address_2": "REXVILLE",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009574223",
            "country_code": "US",
            "telephone_number": "787-405-8634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-31",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY PUERTO RICO LICENCE",
            "identifier": "3872",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Euri De Jesus Fernandez Nunez Sr., MD
• Militza Fernandez Rios, D.M.D.
• Aida Fernandez Sosa, PHARMACIST
• Aida Liz Fernandez
• Frederick Fernandez, DMD
• Kiara Liz Fernandez
• Lily Beth Fernandez
• Nery Jo Fernandez
• Rafael A Fernandez, O.D.
• Wendy Fernandez, PHD

• Clinical Psychologist in Carolina, PR
• Providers in Carolina, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.