Individual provider Active NPI

Johand Rodriguez-Fernandez, PSY.D.

  • Clinical Psychologist
  • Coral Springs, FL
National Provider Identifier
1427470863
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY10259 Issued in FL
Practice address
196 NW 118TH Dr
Coral Springs, FL 33071-8072
Phone
(787) 477-1633
NPI assigned
Jan 18, 2014
Last updated
Jan 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY10259 FL Primary

Addresses

Primary practice location

196 NW 118TH Dr
Coral Springs, FL 33071-8072

Mailing address

3601 Federal Hwy
Miami, FL 33137-3795
Phone (305) 576-6611

Other practice location 1

100 NE 38th St Ste 5
Miami, FL 33137-3654
Phone (305) 576-6611

Other practice location 2

5040 NW 7th St
Miami, FL 33126-3422
Phone (305) 576-6611

Other practice location 3

3601 Federal Hwy
Miami, FL 33137-3795
Phone (305) 576-6611

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1390003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1427470863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 FEDERAL HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373795",
            "telephone_number": "305-576-6611",
            "fax_number": "786-476-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 NW 118TH DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718072",
            "telephone_number": "787-477-1633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 NE 38th St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331373654",
            "country_code": "US",
            "telephone_number": "305-576-6611",
            "fax_number": "786-476-2813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5040 NW 7th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331263422",
            "country_code": "US",
            "telephone_number": "305-576-6611",
            "fax_number": "786-476-2822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331373795",
            "country_code": "US",
            "telephone_number": "305-576-6611",
            "fax_number": "786-476-2813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ-FERNANDEZ",
        "first_name": "JOHAND",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-18",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.