Active NPI
Cathryn Fernandes
- Counselor
- Allston, MA
National Provider Identifier
1700416583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 56 Brighton Ave
Allston, MA 02134-2346 - Phone
- (603) 305-4502
- NPI assigned
- Jan 22, 2020
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
56 Brighton Ave
Allston, MA 02134-2346
Mailing address
56 Brighton Ave
Allston, MA 02134-2346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0421 | Other | MASSHEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | c.fernandes@inbloomautism.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1700416583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 BRIGHTON AVE",
"city": "ALLSTON",
"state": "MA",
"postal_code": "021342346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 BRIGHTON AVE",
"city": "ALLSTON",
"state": "MA",
"postal_code": "021342346",
"telephone_number": "603-305-4502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDES",
"first_name": "CATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-22",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH",
"identifier": "0421",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "c.fernandes@inbloomautism.com",
"affiliation": "N",
"address_1": "56 Brighton Ave",
"city": "Allston",
"state": "MA",
"country_code": "US",
"postal_code": "021342346",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Allston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.