Active NPI
Judith Sheolie Fernando, M.D.
- Psychiatry Physician
- Newton Center, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 277124
- Practice address
- 831 Beacon St Ste 176
Newton Center, MA 02459-1822 - Phone
- (857) 425-9970
- Fax
- (866) 323-1329
- NPI assigned
- Jan 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 277124 | MA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 277124 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | MTL001444 | DC |
Addresses
Primary practice location
831 Beacon St Ste 176
Newton Center, MA 02459-1822
Mailing address
831 Beacon St Ste 176
Newton Center, MA 02459-1822
Phone (857) 425-9970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- George Washington University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
169 Libbey Industrial Pkwy
Weymouth, MA 02189-3165
169 Libbey Industrial Pkwy
Weymouth, MA 02189-3189
4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MTL001444 | DC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Judith S Fernando MD PLLC | Current | Accepting new patients | |
| Commonwealth Psychology Associates | Single Specialty | Past | Accepting new patients |
Locations
2193 Commonwealth Ave
Brighton, MA 02135
Phone (617) 244-7204
831 Beacon St
Newton Centre, MA 02459
Phone (605) 430-7632
Interoperability endpoints
- lifestancehealth.judithfernando@147611.advancedmd-direct.com
Organizations & group practices 3
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Brookline, MA
- NPI 1609573252
-
- Psychologist
- Norwood, MA
- NPI 1912987181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786147200000",
"number": "1043631591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 BEACON ST STE 176",
"city": "NEWTON CENTER",
"state": "MA",
"postal_code": "024591822",
"telephone_number": "857-425-9970",
"fax_number": "866-323-1329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 BEACON ST STE 176",
"city": "NEWTON CENTER",
"state": "MA",
"postal_code": "024591822",
"telephone_number": "857-425-9970",
"fax_number": "866-323-1329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDO",
"first_name": "JUDITH",
"middle_name": "SHEOLIE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-01",
"last_updated": "2026-08-08",
"certification_date": "2026-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "277124",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MA",
"license": "277124",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "MTL001444",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton Center, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.