Active NPI
Gail A. Fernandes, CADC
- Addiction (Substance Use Disorder) Counselor
- Fall River, MA
National Provider Identifier
1679765473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1328 AD
- Practice address
- 386 Stanley St
Fall River, MA 02720-6009 - Phone
- (508) 235-7064
- NPI assigned
- Aug 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1328 AD | MA | Primary |
Addresses
Primary practice location
386 Stanley St
Fall River, MA 02720-6009
Mailing address
386 Stanley St
Fall River, MA 02720-6009
Phone (508) 235-8064
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1328 AD | MA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1679765473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "386 STANLEY ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027206009",
"telephone_number": "508-235-8064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "386 STANLEY ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027206009",
"telephone_number": "508-235-7064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDES",
"first_name": "GAIL",
"middle_name": "A.",
"credential": "CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "1328 AD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.