Active NPI
Fernanda Lucchese, PHD
- Clinical Neuropsychologist
- Miami, FL
National Provider Identifier
1720396120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY12770
- Practice address
- 3350 Virginia St FL 2
Miami, FL 33133-5336 - Phone
- (783) 309-6239
- NPI assigned
- Sep 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 02365 | NY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY12770 | FL | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 11764 | MA | |
| Clinical Neuropsychologist | 103G00000X | PY12770 | FL | Primary |
| Clinical Neuropsychologist | 103G00000X | 35991 | CA |
Addresses
Primary practice location
3350 Virginia St FL 2
Miami, FL 33133-5336
Mailing address
2843 S Bayshore Dr Apt P4E
Miami, FL 33133-6024
Phone (646) 830-4997
Other names 1
- Dr. Fernanda Lucchese-Lobato
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02365 | NY | MD | Clinical Neuropsychologist |
| PY12770 | FL | MD | Clinical Child & Adolescent Psychologist |
| 11764 | MA | MD | Clinical Child & Adolescent Psychologist |
| 35991 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1720396120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2843 S BAYSHORE DR APT P4E",
"city": "MIAMI",
"state": "FL",
"postal_code": "331336024",
"telephone_number": "646-830-4997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 VIRGINIA ST FL 2",
"city": "MIAMI",
"state": "FL",
"postal_code": "331335336",
"telephone_number": "783-309-6239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCCHESE",
"first_name": "FERNANDA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-20",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "02365",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "FL",
"license": "PY12770",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "11764",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY12770",
"primary": true
},
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "35991",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FERNANDA",
"last_name": "LUCCHESE-LOBATO",
"prefix": "DR.",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.