Maylin Fernandez, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

013073-01 Issued in NY

Practice address

20312 42ND Ave
Bayside, NY 11361-1823

Phone

(818) 395-8522

NPI assigned

Apr 21, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1255028015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21337 39TH AVE STE 105",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612071",
            "telephone_number": "818-395-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20312 42ND AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611823",
            "telephone_number": "818-395-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MAYLIN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00940200",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013073-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgene Feldman, PH.D.
• Jason Feldstein
• Natalie Pagano Ferguson, DNP FNP
• Alison Grace Fernandez, MSED
• Christian Fernandez
• Joann Ferrara, PT
• Sandra Ferraro
• Nilce Ferrer
• Kathryn E Ferry
• Nicole Fidalio, M.S.

• Mental Health Counselor in Bayside, NY
• Providers in Bayside, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.