Stella J Fernandez, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2141 Issued in KS

Practice address

1942 NW Copper Oaks Cir
Blue Springs, MO 64015-8300

Phone

(816) 224-4400

Fax

(816) 368-9284

NPI assigned

Jul 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr Stella Fernandez

  • Counselor
  • Blue Springs, MO
  • NPI 1295262327
  NPD (past) Authorized official

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1174754055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 NW COPPER OAKS CIR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640158300",
            "telephone_number": "818-224-4400",
            "fax_number": "816-368-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 NW COPPER OAKS CIR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640158300",
            "telephone_number": "816-224-4400",
            "fax_number": "816-368-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "STELLA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2009006660",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "2141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200671980A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Medical Care Associates PC
• Family Medical Clinic, LLC
• Debora Farnam
• Nelson E Farney, D.D.S.
• Emma Feldmann, DDS
• Ryan Ferns
• Megan S Fields, DPT
• Susan Fields, PHARMD
• Thomas Allen Finley, DPT, PT
• Flack & Stone, D.D.S., P.C.

• Psychologist in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.