Mary Astrid Fernandes, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

06955 Issued in MD

Practice address

12501 Prosperity Dr Ste 310
Silver Spring, MD 20904-1699

Phone

(240) 780-8884

NPI assigned

Dec 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Psychcare Psychological Services, LLC

  • Clinical Psychologist
  • Silver Spring, MD
  • NPI 1831529767
  NPD

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

{
    "created_epoch": "1735084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735084800000",
    "number": "1033927827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12708 VALLEYWOOD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209064162",
            "telephone_number": "240-688-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 PROSPERITY DR STE 310",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041699",
            "telephone_number": "240-780-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "MARY",
        "middle_name": "ASTRID",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-25",
        "last_updated": "2024-12-25",
        "certification_date": "2024-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "06955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabil Fereja, PHARMD
• Latisha Doreen Ferguson, WTS
• Princess Haja Ferguson
• Richard Earl Ferguson
• Joshua Kiran Fernandes, M.D.
• Eddie Alejandro Fernandez, M.D.
• Nicholas Raphael Fernandez
• Elise Marie Nash Ferre, PA-C
• Courtney Ferrell, PH.D.
• Athena Ferril

• Psychologist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2024; 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.