Individual provider Active NPI

Neida C Fernandez

  • Marriage & Family Therapist
  • Miami, FL
National Provider Identifier
1164223442
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT5105 Issued in FL
Practice address
2650 SW 27TH Ave Ste 200
Miami, FL 33133-3003
Phone
(305) 374-9990
NPI assigned
Mar 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT5105 FL Primary

Addresses

Primary practice location

2650 SW 27TH Ave Ste 200
Miami, FL 33133-3003

Mailing address

4260 Ingraham Hwy
Miami, FL 33133-6718
Phone (305) 970-4376

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nfernandez@thetrcenter.org Direct
SOAP URL https://www.traumaresolutioncenter.net/

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

State licenses

LicenseStateTypeSpecialty
MT5105FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1164223442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 INGRAHAM HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331336718",
            "telephone_number": "305-970-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 SW 27TH AVE STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331333003",
            "telephone_number": "305-374-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "NEIDA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT5105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nfernandez@thetrcenter.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2650 SW 27th Ave Ste 200",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331333003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://www.traumaresolutioncenter.net/",
            "affiliation": "N",
            "address_1": "2650 SW 27th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331333003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 21, 2025; 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.