Fernanda Pinheiro De Oliveira, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

61090830 Issued in WA

Practice address

1191 Menoher Dr
JB Andrews, MD 20762-6503

Phone

(240) 857-9680

NPI assigned

Sep 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1326762022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 PITTSFIELD LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161830",
            "telephone_number": "240-857-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 MENOHER DR",
            "city": "JB ANDREWS",
            "state": "MD",
            "postal_code": "207626503",
            "telephone_number": "240-857-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE OLIVEIRA",
        "first_name": "FERNANDA",
        "middle_name": "PINHEIRO",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "61090830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "61090830",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Y Chung, DO, MPH, MS
• Daniel Keith Clark, DO
• Brett D Coons, MD
• Alexis Corcoran, MD
• Heidi Daniels, PH.D.
• Prisco Joseph Demercurio, MD
• Nathan Joshua Deming, DPT, PHD
• Lisa Midori Dodobara-Griffith, D. O.
• John Doleski, LCSW-C
• Jeremy Theron Drenckhahn, MD

• Clinical Psychologist in JB Andrews, MD
• Providers in JB Andrews, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.