Individual provider Active NPI

Judith Sheolie Fernando, M.D.

  • Psychiatry Physician
  • Newton Center, MA
National Provider Identifier
1043631591
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
277124 Issued in MA
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

Updated by the provider on Aug 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221010001712 MA Practitioner - Psychiatry 3779993118 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
MTL001444DCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Judith S Fernando MD PLLC Current Accepting new patients
Commonwealth Psychology Associates Single Specialty PastSince Dec 1, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.