Martine Fenelon, PSYD, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P9127 Issued in FL

Legal business name

MARTINE FENELON, PSYD, LLC

Practice address

160 NW 176TH St Ste 300
Miami Gardens, FL 33169-5041

Phone

(305) 249-2333

NPI assigned

Dec 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Martine Fenelon, PSY.D.

Title

Owner

Phone

(305) 527-9964

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1508371634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 NW 176TH ST STE 300",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695041",
            "telephone_number": "305-249-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW 176TH ST STE 300",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695041",
            "telephone_number": "305-249-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINE FENELON, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "FENELON",
        "authorized_official_first_name": "MARTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-527-9964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "P9127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marti
• Alejandro Martin Consuegra
• Dunia Martin Garcia
• Adriana Martin Gonzalez
• Angelina Adriana Martin, RBT
• Marines Martinez Camejo
• Yuleimy Martinez Carpio
• Manuel A Martinez Castillo
• Alejandro Lazaro Martinez Cordovi
• Heisy Martinez Escalona

• Clinical Psychologist in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.