Patricia Emelina Fernandez, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

60074786 Issued in WA

Practice address

1705 S Kahuna Dr
Spokane, WA 99223-1029

Phone

(888) 316-1038

Fax

(888) 316-1928

NPI assigned

Mar 21, 2007

Last updated

Jan 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Spine and Pain Medicine PLLCGroup PAC ID 5799972212, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: pfernandezpsyd@nsapmp-wa.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Spine and Pain Medicine, PLLC

  dba Northwest Spine and Pain Medicine

  • Multi-Specialty Clinic/Center
  • Spokane, WA
  • NPI 1669789228
  Medicare reassignment Care Compare group NPD
• Northwest Medical Specialty Evaluations PLLC

  dba Functional Capacity Solutions

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Spokane, WA
  • NPI 1811266745

  Clinical

  NPD (past)
• Rare Wellness

  • Integrative Medicine Physician
  • Spokane, WA
  • NPI 1164148748
  NPD (past)
• Selkirk Interventional Pain Physicians PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Spokane, WA
  • NPI 1780965186
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1316062896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992100112",
            "telephone_number": "888-316-1038",
            "fax_number": "888-316-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 S KAHUNA DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992231029",
            "telephone_number": "888-316-1038",
            "fax_number": "888-316-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "PATRICIA",
        "middle_name": "EMELINA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "2006153",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "60074786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Fernald, BA
• Holly Leanne Fernalld
• Neville Fernandes, M.D.
• Tiffany Fernandez-Neel
• Cecily Fernandez
• James Emil Fernando, M.D.
• Walter A Fernau III, MD
• Angelo S Ferraro, MD
• Heidi Ferre, DDS
• Benjamin Trevor Ferrel, DO

• Clinical Psychologist in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.

Verify at the official NPI Registry.