Individual provider Active NPI

Margo Fernandez-Burgos, PHD

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1043114937
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PPY426 Issued in FL
Practice address
1111 Brickell Ave FL 10
Miami, FL 33131-3112
Phone
(786) 418-6256
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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 PPY426 FL Primary

Addresses

Primary practice location

1111 Brickell Ave FL 10
Miami, FL 33131-3112

Mailing address

3390 Mary St Ste 116
Coconut Grove, FL 33133-5255
Phone (786) 418-6256

Other practice location 1

3390 Mary St Ste 116
Coconut Grove, FL 33133-5255
Phone (786) 418-6256

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PPY426FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1043114937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 MARY ST STE 116",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331335255",
            "telephone_number": "786-418-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BRICKELL AVE FL 10",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313112",
            "telephone_number": "786-418-6256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3390 Mary St Ste 116",
            "address_purpose": "LOCATION",
            "city": "Coconut Grove",
            "state": "FL",
            "postal_code": "331335255",
            "country_code": "US",
            "telephone_number": "786-418-6256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ-BURGOS",
        "first_name": "MARGO",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PPY426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.